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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Positioning a child supine after a tonsillectomy is not recommended due to the risk of respiratory complications. Elevating the head of the bed is preferred to prevent aspiration and facilitate breathing.
Choice B reason: Administering analgesics on a schedule is crucial for effective pain management. It helps maintain consistent pain relief, which is important for encouraging fluid intake and preventing dehydration.
Choice C reason: Encouraging a child to blow their nose gently after a tonsillectomy is not advised because it can increase the risk of bleeding. Instead, gentle mouth breathing and avoiding nose blowing are recommended.
Choice D reason: Offering orange juice after a tonsillectomy is not ideal as acidic beverages can irritate the throat. It's better to provide non-acidic fluids like water or apple juice to keep the child hydrated.
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.
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