An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?- Nurselytic

Question 1 of 5

An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?

A. Decreased urinary output B. Decreased periorbital edema C. Increased periods of rest D. Weight gain of 0.5 kg/day

Correct Answer: B

Rationale: In nephrotic syndrome treatment, decreased periorbital edema is a positive therapeutic response as it indicates a reduction in fluid retention. Periorbital edema is a common symptom of nephrotic syndrome due to fluid accumulation, so a decrease in this swelling signifies an improvement in the condition.

Question 2 of 5

The nurse is caring for a 15-year-old adolescent who is admitted with a diagnosis of bulimia nervosa. The adolescent's vital signs are stable, but the nurse notes that the client has dry skin and appears thin. What is the nurse's priority action?

A. Initiate a structured eating plan for the client B. Establish a therapeutic relationship with the client C. Monitor the client's electrolyte levels D. Provide education on healthy eating habits

Correct Answer: C

Rationale: In clients with bulimia nervosa, electrolyte imbalances are common due to purging behaviors and can lead to severe complications. Monitoring electrolyte levels is essential to detect and manage any imbalances promptly, as they can be life-threatening.

Question 3 of 5

A 7-year-old child with sickle cell anemia presents to the emergency department with severe pain in the arms and legs. What is the nurse's priority action?

A. Administer prescribed pain medication B. Apply warm compresses to the affected areas C. Encourage the child to drink fluids D. Monitor the child's oxygen saturation

Correct Answer: A

Rationale: In a sickle cell crisis, pain management is a priority due to the severe pain experienced by the child. Administering prescribed pain medication is crucial to alleviate the pain and provide comfort to the child. Once pain is controlled, other comfort measures like applying warm compresses and encouraging fluid intake can be implemented. Monitoring oxygen saturation is important but not the priority action when dealing with severe pain in a sickle cell crisis.

Question 4 of 5

After observing a mother giving her 11-month-old ferrous sulfate followed by two ounces of orange juice, what should the nurse do next?

A. Suggest placing the iron drops in the orange juice and feed the infant. B. Advise the mother to follow the iron drops with formula instead of orange juice. C. Instruct the mother to feed the infant nothing in the next 30 minutes after the iron. D. Give positive feedback about the way she administered the sulfate.

Correct Answer: D

Rationale: Providing positive feedback is essential in reinforcing correct behaviors. By praising the mother for properly administering the ferrous sulfate to her 11-month-old, the nurse can encourage her to continue following the correct procedure. This positive reinforcement can boost the mother's confidence and adherence to the recommended administration method, ultimately benefiting the infant's health.

Question 5 of 5

The parents of a 3-year-old boy who has Duchenne muscular dystrophy (DMD) ask, 'how can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide these parents?

A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family. B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage. C. The lack of the protein dystrophin in the mother can impact the muscle groups of males. D. Damage to the spinal cord due to birth trauma from a breech vaginal birth weakens the muscles.

Correct Answer: A

Rationale: The nurse should inform the parents that Duchenne muscular dystrophy is an X-linked recessive disorder, which primarily affects male children in the family. This genetic condition is caused by a mutation in the dystrophin gene located on the X chromosome. Females are usually carriers of the gene mutation and may pass it on to their sons. Daughters of carrier mothers have a 50% chance of being carriers themselves. Understanding the genetics of DMD can help the parents make informed decisions about family planning and genetic counseling.

Nurselytic

HESI RN

HESI RN

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