A 1-year-old with ARF is edematous with minimal urine output. The vital signs include HR 146, BP 176/92, and RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?

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Pediatric Genitourinary Disorders NCLEX Questions Questions

Question 1 of 5

A 1-year-old with ARF is edematous with minimal urine output. The vital signs include HR 146, BP 176/92, and RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?

A. Additional rectal Kayexalate. B. Intravenous furosemide. C. Endotracheal intubation and ventilatory assistance. D. Placement of a Tenckhoff catheter for peritoneal dialysis.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The parent of a child with glomerulonephritis asks how they will know the child is improving at home.

A. Your child’s urine output will increase, and the urine will become less tea-colored. B. Your child will rest more comfortably as labs normalize. C. Your child’s appetite will decrease as urine output increases. D. Your child’s lab values will become more normal.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which child does not need a urinalysis to evaluate for a UTI?

A. A 4-month-old female with 2 days of fussiness, poor appetite, T 100.8°F, HR 120. B. A 4-year-old female with dysuria and frequent urination; vitals are normal. C. An 8-year-old male with a finger laceration and a history of ureteral reimplantation 2 years ago. D. A 12-year-old female with lower right back pain and T 101.5°F.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?

A. Clean the perineum and apply a urine collection bag. B. Insert an indwelling Foley catheter and obtain a sample. C. Place a sterile cotton ball in the diaper and use a syringe. D. Perform an in-and-out (straight) catheterization.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which foods should be offered to a child with hepatitis?

A. A tuna sandwich on whole wheat bread and skim milk. B. Clear liquids such as broth and Jell-O. C. A hamburger, French fries, and a diet soda. D. A peanut butter sandwich and a milkshake.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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