Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT

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ATI Pediatrics Proctored Exam 2023 Quizlet Questions

Question 1 of 5

Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT

Correct Answer: B

Rationale: Hypernatremia is not typically associated with tumor lysis syndrome, whereas hyperuricemia, hyperkalemia, and hyperphosphatemia are common.

Question 2 of 5

Why should a healthcare professional take time to get to know the things a family does together, their weekly routine, and an explanation of family dynamics?

Correct Answer: A

Rationale: Understanding the activities, routines, and dynamics of a family is crucial for a healthcare professional to provide holistic care. By gaining insight into the family's lifestyle and relationships, the professional can tailor interventions that are better integrated into the family's daily life, fostering more effective therapy outcomes and enhancing the overall quality of care provided.

Question 3 of 5

Which statement is not a principle of family-centered care?

Correct Answer: D

Rationale: Family-centered care focuses on respecting family autonomy, providing flexible services, and collaborating with family members to ensure individualized care. Imposing strict rules contradicts the core principles of family-centered care, which prioritize partnership, communication, and shared decision-making between healthcare providers and families.

Question 4 of 5

Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?

Correct Answer: B

Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.

Question 5 of 5

A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?

Correct Answer: C

Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.

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