A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect?

Hyperactivity

Weight gain

Delayed growth

Flushed face

Answer and Explanation

The Correct Answer is C

Choice A reason: Hyperactivity is not typically associated with chronic renal failure in children. Instead, children may experience fatigue and lethargy due to anemia and the overall decreased function of the kidneys.

Choice B reason: Weight gain can occur in chronic renal failure due to fluid retention; however, it is not as characteristic as delayed growth, which is a direct result of the disease's impact on the child's development.

Choice C reason: Delayed growth is a common finding in children with chronic renal failure due to various factors, including metabolic imbalances, bone disorders, and malnutrition, all of which can impede normal growth.

Choice D reason: A flushed face is not a typical finding in chronic renal failure. More common are signs related to fluid overload, such as swelling around the eyes, feet, and ankles, and symptoms of uremia like pallor.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Albuterol is a bronchodilator used to relieve breathing difficulties, which are common in cystic fibrosis.

Choice B reason: Loperamide is an anti-diarrheal medication and is not typically used in the management of cystic fibrosis.

Choice C reason: Tobramycin is an antibiotic that can be nebulized to treat lung infections in cystic fibrosis patients.

Choice D reason: Dornase alfa is an enzyme that helps to thin mucus, improving lung function in cystic fibrosis patients.

Choice E reason: Fat-soluble vitamins are essential in cystic fibrosis due to malabsorption issues associated with the disease.

A. Apply lidocaine and prilocaine cream to three potential insertion sites. B. Explain the procedure using the child's favorite toy. C. Allow the child to make one choice regarding the procedure. D. Ask the parents to leave during the procedure. E. Perform the procedure with the child in his bed.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Applying lidocaine and prilocaine cream can help numb the area, reducing pain and discomfort during catheter insertion, which aligns with atraumatic care principles.

Choice B reason: Explaining procedures using familiar objects can help reduce anxiety and fear in children, making the experience less traumatic⁷.

Choice C reason: Allowing the child to make choices can provide a sense of control, which is important for reducing stress during medical procedures⁷.

Choice D reason: Asking parents to leave is not recommended as their presence can be comforting to the child and is part of atraumatic care.

Choice E reason: Performing the procedure in a familiar environment, such as the child's bed, can help minimize stress and fear.

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A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply)

Correct Answer is ["A","C","D","E"]

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