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 B

Explanation

Choice A reason: While the Fowler's position can aid in breathing, it is not the first action to take if the oxygen saturation monitor is reading low.

Choice B reason: Ensuring the proper placement of the sensor probe is the first step, as incorrect placement can lead to inaccurate readings.

Choice C reason: Increasing the oxygen flow rate should only be considered after confirming the accuracy of the oxygen saturation reading.

Choice D reason: Encouraging deep breaths may be helpful, but it is not the first action to take. The priority is to ensure the oxygen saturation reading is accurate.

A. Wait 30 seconds between puffs. B. Shake the device prior to use. C. Exhale quickly after medication administration. D. Rinse and expectorate after administration. E. Inhale slowly after medication administration.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.

Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.

Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.

Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.

Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.

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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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