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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Correct Answer is A

Explanation

Choice A reason: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.

Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.

Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.

Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.

A. Administer an antidiuretic. B. Encourage frequent voiding. C. Evaluate the child's self-esteem. D. Restrict fluids.

Correct Answer is B

Explanation

Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.

Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.

Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.

Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.

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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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