A child is admitted to the hospital and diagnosed with inflammatory bowel disease. The nurse should evaluate the patient for which most likely associated symptoms?

Fever, tachypnea, and tachycardia

Frequent stools, weight loss, and hyperactive bowels

Frequent stools, fever, and tachycardia

Constipation, fever, and weight loss

Answer and Explanation

The Correct Answer is B

IBD, which includes conditions such as Crohn's disease and ulcerative colitis, is characterized by chronic inflammation of the gastrointestinal tract. The symptoms can vary depending on the type and severity of the disease, but common symptoms in children with IBD include:

Children with IBD often experience increased frequency of bowel movements, which may be loose or watery. This is often accompanied by urgency and a sense of incomplete evacuation.
Chronic inflammation in the gastrointestinal tract can interfere with nutrient absorption, leading to poor appetite, decreased intake, and subsequent weight loss. In severe cases, malnutrition may occur.
Inflammatory processes in the intestines can lead to increased motility and peristalsis, resulting in hyperactive bowel sounds.

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Correct Answer is B

Explanation

A likely cause of a low sodium level (hyponatremia) of 128 mEq/L is the administration of hypotonic IV fluids. Hypotonic IV fluids have a lower concentration of solutes compared to the body's fluids, which can lead to dilutional hyponatremia. When these fluids are administered, they can cause water to move into the cells, diluting the sodium concentration in the bloodstream.

A. "The red blood cell count should begin to improve with these injections B. "My Cr and BUN will slowly improve over the next 7-10 days. C. I will not have to take Furosemide any longer. D. Urine output should improve with these injections.

Correct Answer is A

Explanation

Recombinant human erythropoietin is a medication commonly used in the treatment of anemia associated with chronic renal failure. It stimulates the production of red blood cells in the bone marrow, helping to improve anemia.

The other statements mentioned do not accurately reflect the expected outcomes or effects of recombinant human erythropoietin:

Chronic renal failure leads to impaired kidney function, and while recombinant human erythropoietin can help address anemia, it does not directly improve creatinine (Cr) and blood urea nitrogen (BUN) levels, which are markers of kidney function.

Furosemide is a diuretic commonly used in the management of fluid retention in renal failure. Recombinant human erythropoietin does not replace or eliminate the need for diuretic therapy.

Chronic renal failure typically involves decreased kidney function and impaired urine production. Recombinant human erythropoietin does not directly affect urine output.

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A child is admitted to the hospital and diagnosed with inflammatory bowel disease. The nurse should evaluate the patient for which most likely associated symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's Sodium level is 128 meq/L. The nurse knows that a likely cause of this lab finding is:

Correct Answer is B

Explanation

The nurse is teaching a client with chronic renal failure (CRF) about the use of recombinant human erythropoietin (Epogen) Subcutaneous injections. Which statement indicates the client understands the teaching?

Correct Answer is A

Explanation

A patient is receiving a 3% saline continuous IV infusion for hyponatremia. Which assessment data represents an adverse outcome (side effect) of this infusion?

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