Question 1

What dietary instructions should the nurse give to parents of a child with minimal change nephrotic syndrome with massive edema?

Accepted Answer

A)  Soft diet 
B)  High protein 
C)  Fluid restricted 
D)  No salt added at the table 
E)  Restriction of foods high in sodium 
A)  Soft diet 
B)  High protein 
C)  Fluid restricted 
D)  No salt added at the table 
E)  Restriction of foods high in sodium D,E

Question 2

A child is hospitalized in acute renal failure and has a serum potassium greater than 7 mEq/L.What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed?

Accepted Answer

A)  Dialysis 
B)  Calcium gluconate 
C)  Sodium bicarbonate 
D)  Glucose 50% and insulin 
E)  Sodium polystyrene sulfonate (Kayexalate) 
A)  Dialysis 
B)  Calcium gluconate 
C)  Sodium bicarbonate 
D)  Glucose 50% and insulin 
E)  Sodium polystyrene sulfonate (Kayexalate) B,C,D

Question 3

The nurse is caring for a child with acute renal failure.What laboratory findings should the nurse expect to find?

Accepted Answer

A)  Hyponatremia 
B)  Hyperkalemia 
C)  Metabolic alkalosis 
D)  Elevated blood urea nitrogen level 
E)  Decreased plasma creatinine level 
A)  Hyponatremia 
B)  Hyperkalemia 
C)  Metabolic alkalosis 
D)  Elevated blood urea nitrogen level 
E)  Decreased plasma creatinine level A,B,D

Question 4

A child is admitted for minimal change nephrotic syndrome (MCNS).The nurse recognizes that the child's prognosis is related to what factor?

Accepted Answer

A)  Admission blood pressure 
B)  Creatinine clearance 
C)  Amount of protein in urine 
D)  Response to steroid therapy 
A)  Admission blood pressure 
B)  Creatinine clearance 
C)  Amount of protein in urine 
D)  Response to steroid therapy

Question 5

What recommendation should the nurse make to prevent urinary tract infections (UTIs)in young girls?

Accepted Answer

A)  Avoid public toilet facilities. 
B)  Limit long baths as much as possible. 
C)  Cleanse the perineum with water after voiding. 
D)  Ensure clear liquid intake of 2 L/day. 
A)  Avoid public toilet facilities. 
B)  Limit long baths as much as possible. 
C)  Cleanse the perineum with water after voiding. 
D)  Ensure clear liquid intake of 2 L/day.

Question 6

Match the classification of urinary tract infections of inflammations to its definition.
-Persistence of bacteriuria despite antibiotic treatment

Accepted Answer

A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis 
A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis

Question 7

Match the classification of urinary tract infections of inflammations to its definition.
-Inflammation of the urethra

Accepted Answer

A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis 
A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis

Question 8

A health care provider prescribes furosemide (Lasix),10 mg intravenously (IV)now,for a child with acute glomerulonephritis.The medication label states: "Furosemide (Lasix)20 mg/2 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer the dose? Fill in the blank.Record your answer in a whole number.
________________

Accepted Answer

1
Follow the formula for dosag

Question 9

The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS).What statement by the parent indicates a correct understanding of the teaching?

Accepted Answer

A)  "My child needs to stay home from school for at least 1 more month." 
B)  "I should not add additional salt to any of my child's meals." 
C)  "My child will not be able to participate in contact sports while receiving corticosteroid therapy." 
D)  "I should measure my child's urine after each void and report the 24-hour amount to the health care provider." 
A)  "My child needs to stay home from school for at least 1 more month." 
B)  "I should not add additional salt to any of my child's meals." 
C)  "My child will not be able to participate in contact sports while receiving corticosteroid therapy." 
D)  "I should measure my child's urine after each void and report the 24-hour amount to the health care provider."

Question 10

What dietary instructions should the nurse give to parents of a child undergoing chronic hemodialysis?

Accepted Answer

A)  High protein 
B)  Fluid restriction 
C)  High phosphorus 
D)  Sodium restriction 
E)  Potassium restriction 
A)  High protein 
B)  Fluid restriction 
C)  High phosphorus 
D)  Sodium restriction 
E)  Potassium restriction

Question 11

A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS)that is in remission after administration of prednisone.The nurse realizes further teaching is required if the parents state what?

Accepted Answer

A)  "We will keep our child away from anyone who is ill." 
B)  "We will be sure to administer the prednisone as ordered." 
C)  "We will encourage our child to eat a balanced diet, but we will watch his salt intake." 
D)  "We understand our child will not be able to attend school, so we will arrange for home schooling." 
A)  "We will keep our child away from anyone who is ill." 
B)  "We will be sure to administer the prednisone as ordered." 
C)  "We will encourage our child to eat a balanced diet, but we will watch his salt intake." 
D)  "We understand our child will not be able to attend school, so we will arrange for home schooling."

Question 12

Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl.The nurse answers the parents based on what knowledge?

Accepted Answer

A)  Chromosome analysis will be complete in 7 days. 
B)  A physical examination will be able to provide a definitive answer. 
C)  Additional laboratory testing is necessary to assign the correct gender. 
D)  Gender assignment involves collaboration between the parents and a multidisciplinary team. 
A)  Chromosome analysis will be complete in 7 days. 
B)  A physical examination will be able to provide a definitive answer. 
C)  Additional laboratory testing is necessary to assign the correct gender. 
D)  Gender assignment involves collaboration between the parents and a multidisciplinary team.

Question 13

What dietary instructions should the nurse give to parents of a child in the oliguria phase of acute glomerulonephritis with edema and hypertension?

Accepted Answer

A)  High fat 
B)  Low protein 
C)  Encouragement of fluids 
D)  Moderate sodium restriction 
E)  Limit foods high in potassium 
A)  High fat 
B)  Low protein 
C)  Encouragement of fluids 
D)  Moderate sodium restriction 
E)  Limit foods high in potassium

Question 14

Calculate the 24-hour maintenance fluid requirement for a child weighing 25 kg.Fill in the blank with ml/day.Record your answer in a whole number.
__________________

Accepted Answer

1600
Follow the formula for daily fluid

Question 15

The nurse is admitting a 9-year-old child with hemolytic uremic syndrome.What clinical manifestations should the nurse expect to observe?

Accepted Answer

A)  Hematuria 
B)  Anorexia 
C)  Hypertension 
D)  Purpura 
E)  Proteinuria
F) Periorbital edema 
A)  Hematuria 
B)  Anorexia 
C)  Hypertension 
D)  Purpura 
E)  Proteinuria
F) Periorbital edema

Question 16

What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?

Accepted Answer

A)  Reduce blood pressure. 
B)  Lower serum protein levels. 
C)  Minimize excretion of urinary protein. 
D)  Increase the ability of tissue to retain fluid. 
A)  Reduce blood pressure. 
B)  Lower serum protein levels. 
C)  Minimize excretion of urinary protein. 
D)  Increase the ability of tissue to retain fluid.

Question 17

A 12-year-old child is injured in a bicycle accident.When considering the possibility of renal trauma,the nurse should consider what factor?

Accepted Answer

A)  Flank pain rarely occurs in children with renal injuries. 
B)  Few nonpenetrating injuries cause renal trauma in children. 
C)  Kidneys are immobile, well protected, and rarely injured in children. 
D)  The amount of hematuria is not a reliable indicator of the seriousness of renal injury. 
A)  Flank pain rarely occurs in children with renal injuries. 
B)  Few nonpenetrating injuries cause renal trauma in children. 
C)  Kidneys are immobile, well protected, and rarely injured in children. 
D)  The amount of hematuria is not a reliable indicator of the seriousness of renal injury.

Question 18

Match the classification of urinary tract infections of inflammations to its definition.
-Febrile urinary tract infection coexisting with systemic signs of bacterial illness

Accepted Answer

A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis 
A) Persistent urinary tract infection 
B) Cystitis 
C) Urethritis 
D) Pyelonephritis 
E) Urosepsis

Question 19

The nurse is caring for an adolescent who has just started dialysis.The child always seems angry,hostile,or depressed.The nurse should recognize that this is most likely related to what underlying cause?

Accepted Answer

A)  Physiologic manifestations of renal disease 
B)  The fact that adolescents have few coping mechanisms 
C)  Neurologic manifestations that occur with dialysis 
D)  Resentment of the control and enforced dependence imposed by dialysis 
A)  Physiologic manifestations of renal disease 
B)  The fact that adolescents have few coping mechanisms 
C)  Neurologic manifestations that occur with dialysis 
D)  Resentment of the control and enforced dependence imposed by dialysis

Question 20

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often.What knowledge should influence the nurse's reply?

Accepted Answer

A)  The antibiotic therapy contributes to labile blood pressure values. 
B)  Hypotension leading to sudden shock can develop at any time. 
C)  Acute hypertension is a concern that requires monitoring. 
D)  Blood pressure fluctuations indicate that the condition has become chronic. 
A)  The antibiotic therapy contributes to labile blood pressure values. 
B)  Hypotension leading to sudden shock can develop at any time. 
C)  Acute hypertension is a concern that requires monitoring. 
D)  Blood pressure fluctuations indicate that the condition has become chronic.

Exam 25: The Child With Renal Dysfunction

What dietary instructions should the nurse give to parents of a child with minimal change nephrotic syndrome with massive edema?

A child is hospitalized in acute renal failure and has a serum potassium greater than 7 mEq/L.What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed?

The nurse is caring for a child with acute renal failure.What laboratory findings should the nurse expect to find?

A child is admitted for minimal change nephrotic syndrome (MCNS).The nurse recognizes that the child's prognosis is related to what factor?

What recommendation should the nurse make to prevent urinary tract infections (UTIs)in young girls?

Match the classification of urinary tract infections of inflammations to its definition. -Persistence of bacteriuria despite antibiotic treatment

Match the classification of urinary tract infections of inflammations to its definition. -Inflammation of the urethra

The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS).What statement by the parent indicates a correct understanding of the teaching?

What dietary instructions should the nurse give to parents of a child undergoing chronic hemodialysis?

A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS)that is in remission after administration of prednisone.The nurse realizes further teaching is required if the parents state what?

Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl.The nurse answers the parents based on what knowledge?

What dietary instructions should the nurse give to parents of a child in the oliguria phase of acute glomerulonephritis with edema and hypertension?

Calculate the 24-hour maintenance fluid requirement for a child weighing 25 kg.Fill in the blank with ml/day.Record your answer in a whole number. __________________

The nurse is admitting a 9-year-old child with hemolytic uremic syndrome.What clinical manifestations should the nurse expect to observe?

What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?

A 12-year-old child is injured in a bicycle accident.When considering the possibility of renal trauma,the nurse should consider what factor?

Match the classification of urinary tract infections of inflammations to its definition. -Febrile urinary tract infection coexisting with systemic signs of bacterial illness

The nurse is caring for an adolescent who has just started dialysis.The child always seems angry,hostile,or depressed.The nurse should recognize that this is most likely related to what underlying cause?

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often.What knowledge should influence the nurse's reply?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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