Chelation therapy is an effective treatment for which condition?

Lead poisoning

Pancreatic infections

Hyperbilirubinemia

Aspirin ingestion

Answer and Explanation

The Correct Answer is A

a) Lead poisoning: Chelation therapy effectively removes heavy metals like lead from the body.

b) Pancreatic infections: Chelation therapy is not a standard treatment for pancreatic infections.

c) Hyperbilirubinemia: Phototherapy or other approaches are used for managing elevated bilirubin levels, not chelation therapy.

d) Aspirin ingestion: Management of aspirin ingestion typically involves supportive care or activated charcoal, not chelation therapy.

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Correct Answer is C

Explanation

a) The infant having a higher basal metabolic rate: Basal metabolic rate doesn't directly impact urine specific gravity.

b) The infant’s kidneys being less able to concentrate urine: In fact, infants have immature kidneys that are less efficient at concentrating urine, but this is not the primary reason for lower specific gravity.

c) The infant having a greater percentage of body weight in water: Infants have a higher percentage of body weight in water, leading to more dilute urine.

d) The infant having a greater body surface area: While body surface area influences some aspects of renal function, it's not the main factor affecting urine specific gravity in infants.

A. The infant has blood in urine B. The infant has received two doses of morphine per PRN orders C. The infant has voided one time since returning from surgery D. Double diapering the infant has resulted in the stent being free from stool contamination

Correct Answer is A

Explanation

a) Blood in the urine after hypospadias repair could indicate postoperative bleeding, and it's a significant finding that should be reported promptly to the surgeon.

b) Administration of morphine according to PRN orders is a common postoperative pain management strategy and might not require immediate reporting unless there are concerns about the dosage or the child's response.

c) Voiding once after surgery is expected and not necessarily concerning unless there are additional issues or complications.

d) Ensuring the stent is free from stool contamination is important for postoperative care but doesn't require immediate reporting to the surgeon unless there are signs of infection or other complications.

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Chelation therapy is an effective treatment for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to:

Correct Answer is C

Explanation

Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

Correct Answer is A

Explanation

Which intervention is appropriate for a child receiving a high dose of steroids?

The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Which of the following is a major clinical manifestation of rheumatic fever (RF)?

A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschool-age child?

The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

A 3-year-old with bacterial pneumonia is crying and says it hurts when he coughs. The nurse would teach the child to do which of the following?