The nurse is taking care for the child that has been diagnosed with acute renal failure. Which findings should the nurse expect to see in this child?
Metabolic Alkalosis
Water and sodium (Na) retention
Anemia
Hyperkalemia
Increased urinary output
Correct Answer : B,C,D
A. Metabolic alkalosis is not a common acid-base imbalance associated with ARF. Instead, metabolic acidosis is more commonly observed due to the retention of metabolic waste products.
B. Water and sodium (Na) retention: In ARF, the kidneys are unable to effectively filter and excrete waste products and excess fluids. This leads to the retention of water and sodium, contributing to fluid overload.
C. Anemia: ARF can lead to decreased erythropoietin production by the kidneys, which can result in anemia due to reduced red blood cell production.
D. Hyperkalemia: The impaired kidney function in ARF may result in the inability to regulate potassium levels. Elevated levels of potassium (hyperkalemia) can be a dangerous complication.
E. Increased urinary output is not a typical finding in ARF. Instead, the hallmark of ARF is a reduction in urine output or oliguria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A white glow of the pupil, often referred to as "cat's eye reflex" or "leukocoria," is a significant and characteristic sign of retinoblastoma. It occurs when the tumor within the eye reflects light, resulting in a white or yellowish glow in the pupil when light is shined into it. This can be seen in flash photographs or in certain lighting conditions. It's a crucial sign that may indicate the presence of retinoblastoma, a rare eye cancer that primarily affects young children.
The other options, B (ptosis of the eye), C (fixed and dilated pupil), and D (purulent eye discharge), are not typically associated with retinoblastoma. Ptosis is the drooping of the upper eyelid, a fixed and dilated pupil is usually a sign of neurological issues, and purulent eye discharge is often associated with eye infections rather than retinoblastoma.
Correct Answer is ["B","C"]
Explanation
Iron-rich foods that should be recommended for a toddler with iron deficiency anemia include:
B. Chicken: Chicken, especially dark meat, is a good source of heme iron, which is easily absorbed by the body.
C. Lean Steak: Lean beef, such as steak, is also a good source of heme iron.
Non-heme iron from plant-based sources is also beneficial but is generally less easily absorbed. So, the following options are non-heme iron sources:
A. Broccoli: While broccoli contains iron, it is a non-heme iron source. It can still contribute to iron intake, but it's not as efficient as heme iron from animal sources.
D. Carrots: Similar to broccoli, carrots contain non-heme iron, but they can be part of a balanced diet for increasing iron intake.
E. Whole Milk: Whole milk can interfere with iron absorption in the body. It's not recommended for children with iron deficiency anemia, as it can make the condition worse. It's better to choose lower-fat milk or alternative milk sources.
Additionally, other sources of iron-rich foods for toddlers can include fortified cereals, legumes (like lentils and beans), and fortified infant formulas if needed. Always consult with a healthcare provider for specific dietary recommendations based on the child's condition.
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