A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most?

Explain body changes that will take place.

Maintain the child’s normal routines.

Allow the child to talk about the illness.

Encourage friends to visit.

Answer and Explanation

The Correct Answer is B

Choice A reason: While it is important to prepare the child for changes, maintaining normalcy is more immediately beneficial.
Choice B reason: This is the correct choice. Maintaining normal routines provides a sense of stability and normalcy, which is comforting during a stressful time.
Choice C reason: Allowing the child to talk about the illness is important, but it may not be as comforting as maintaining normal routines.
Choice D reason: Encouraging friends to visit can provide support, but it is not as impactful on daily comfort as maintaining normal routines.

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Correct Answer is C

Explanation

Choice A reason: Restricting calcium intake is not typically recommended for children with chronic renal failure as they may already be at risk for bone disease due to altered calcium metabolism.
Choice B reason: Eating three large meals per day and limiting snacks is not specific dietary advice for chronic renal failure; nutritional needs should be tailored to the individual.
Choice C reason: This is the correct choice. In chronic renal failure, the kidneys may not be able to remove excess potassium, leading to hyperkalemia, which can be dangerous.
Choice D reason: Increasing sodium intake is not generally recommended for chronic renal failure as it can contribute to hypertension and fluid retention.

A. Hemoglobin A1C of 6.2%. B. Fasting plasma glucose of 189 mg/dL (10.49 mmol/L). C. High-density lipoprotein of 40 mg/dL (1.03 mmol/L). D. Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L).

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.

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A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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