Pediatric Nursing Quiz

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What is a concerning assessment finding for a patient with cirrhosis?

Blood noted in vomitus (correct)

Smoking cessation

Age younger than 40

Annual mammo

What is the primary goal of reducing protein intake in a patient with hepatic encephalopathy?

To promote weight gain

To reduce steatorrhea

To prevent confusion associated with liver failure (correct)

To improve blood sugar control

What is an important nursing intervention to prevent lymphedema in a patient who has undergone a mastectomy?

Avoiding moving the affected arm

Using compression stockings

Elevating the affected arm

Encouraging early arm exercise (correct)

What is an indication of impending hypoglycemia in a patient with diabetes?

Blood glucose level of 50 Signup and view all the answers

What is an important assessment finding that indicates a patient's fluid balance is stable?

No adventitious lung sounds Signup and view all the answers

What is an important interpretation of an HbA1c level of 5.9% in a patient with diabetes?

The patient has maintained good glycemic control Signup and view all the answers

What should a client with CHF be taught to do if they gain more than 2 lbs in 1 day?

Notify the healthcare provider Signup and view all the answers

What may be a sign of a pulmonary embolism?

Pain and cramping with exercise and relieved with rest Signup and view all the answers

What is an important teaching point for clients with systemic lupus erythematosus?

Avoid over exposure to the sun Signup and view all the answers

What is a sign of respiratory distress?

Kussmaul respirations Signup and view all the answers

What is an important laboratory result to monitor in a client?

Potassium level Signup and view all the answers

What is a risk factor for falls?

Rigidity with ambulation Signup and view all the answers

When caring for a patient with an exacerbation of ulcerative colitis, which intervention should the nurse prioritize?

Monitor for bleeding Signup and view all the answers

A patient with Crohn's disease has a stool characteristic that the nurse should expect to see documented?

Non-bloody diarrhea Signup and view all the answers

When reviewing trigger factors for seizures with a newly diagnosed patient, what should the nurse include in the review?

Limit exposure to flashing lights Signup and view all the answers

What is a result of massive cell destruction that occurred with chemotherapy in a patient with leukemia?

Increased potassium Signup and view all the answers

What is the priority assessment finding for a patient with Cushing's disease?

Weight gain Signup and view all the answers

What is an important consideration when caring for a patient taking prednisone for inflammatory bowel disease?

Identifying dietary triggers Signup and view all the answers

What is a common precursor to mental illness in adults?

Certain childhood experiences Signup and view all the answers

What is the best initial communication by the nurse when assessing a patient with delusional disorder with paranoia?

You seem to be having trouble trusting the staff. Signup and view all the answers

What is a potential side effect of chlorpromazine?

All of the above Signup and view all the answers

What is the primary goal for a family when the RN completes a family assessment?

Assisting the family in learning about differentiation Signup and view all the answers

What is the therapeutic intervention when caring for a patient with hallucinations?

Distract the patient's attention Signup and view all the answers

What is an example of triangulation in a family?

A husband, wife, and secretary involved in a conflict Signup and view all the answers

What is a false statement about domestic abuse?

Abuse can happen to anyone regardless of education or social status Signup and view all the answers

What is the priority nursing action when taking admission of a patient with right heart failure?

Expecting the patient to complain of dyspnea, fatigue, and edema Signup and view all the answers

What is the indication of therapeutic effect of epoetin in a patient with CKD?

HCT 35% Signup and view all the answers

What is the primary goal of antiretroviral therapy in a patient with HIV?

To keep the virus from developing Signup and view all the answers

What is the priority nursing action for a patient who experiences a generalized tonic clonic seizure?

Keeping the patient in a side lying position Signup and view all the answers

What is the purpose of ondansetron in a patient receiving chemotherapy?

To manage nausea and vomiting Signup and view all the answers