A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?

Correct Answer: C

Rationale: I know that is your favorite, but let me help you pick another lunch' is best. AGN requires sodium and protein restriction; peanut butter is high in both, per renal nursing. A allows it, B is abrupt, D delays. C balances empathy and health.

Question 2 of 5

A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?

Correct Answer: A

Rationale: In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice' is priority. It minimizes radiation exposure, per nuclear medicine standards. Utensils , bathroom , and fluids are less critical initially. A protects vulnerable groups.

Question 3 of 5

The nurse must know that the most accurate oxygen delivery system available is

Correct Answer: A

Rationale: The Venturi mask delivers precise oxygen concentrations (24%-50%) via a Venturi valve, making it the most accurate system.

Question 4 of 5

The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?

Correct Answer: A

Rationale: Imbalanced calcium and phosphorus indicate parathyroid dysfunction, critical in renal disease management.

Question 5 of 5

The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?

Correct Answer: C

Rationale: Respiratory depression and oliguria suggest magnesium toxicity; stopping the infusion is the priority.

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