One of the clinical manifestations of chronic rena

Question 1 of 5

One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term?

A. Deposits of urea crystals in urine B. Deposits of urea crystals on skin C. Overexcretion of blood urea nitrogen D. Inability of body to tolerate cold temperatures

Correct Answer: B

Rationale: Uremic frost is a term used to describe the presence of urea crystals on the skin of individuals with chronic renal failure. As kidney function declines in chronic renal failure, the body is unable to effectively excrete waste products such as urea. Urea can then be deposited on the skin when sweating, leading to the formation of white or frost-like crystals, giving the appearance of "uremic frost." This condition is a visible indicator of severe kidney dysfunction and the buildup of waste products in the body.

Question 2 of 5

An 8-day-old is admitted with vomiting and dehydration. His HR is 170, RR is 44, BP is 85/52, and T is 99Â°F. The parents ask if these vital signs are normal. Which is the best response?

A. The BP is elevated. B. The temperature is elevated. C. The heart rate is elevated; normal for a neonate is 90-160 bpm. D. The respiratory rate is elevated.

Correct Answer: C

Rationale: A neonatal heart rate of 170 is above the normal range (90-160 bpm), which is concerning for dehydration.

Question 3 of 5

A 15-month-old toddler was able to do all the following EXCEPT

A. walks alone B. makes tower of 3 cubes C. inserts raisin in a bottle D. responds to his/her name

Correct Answer: D

Rationale: Responding to name usually occurs earlier, around 6-9 months.

Question 4 of 5

A client has type1 diabetes. Her husband finds her unconscious at home and administers glucagons, 0.5 mg S.C. She awakens in 5 minutes .Why her husband offer a complex carbohydrate snack to her as soon as possible?

A. To decrease the possibility of nausea and vomiting B. To restore liver glycogen and prevent secondary hypoglycemia C. To stimulate her appetite D. To decrease the amount of glycogen in her system

Correct Answer: B

Rationale: Providing a complex carbohydrate snack to the client after she has been treated with glucagon is important to restore liver glycogen and prevent secondary hypoglycemia. Glucagon works by stimulating the liver to release stored glucose, which quickly raises blood sugar levels. However, this can deplete the liver's glycogen stores, making the client susceptible to experiencing hypoglycemia again if additional glucose is not consumed. Offering a complex carbohydrate snack will help replenish the liver's glycogen stores and sustain blood sugar levels to prevent a recurrence of hypoglycemia.

Question 5 of 5

The nurse would monitor the client for which of the following?

A. Trousseau's sign B. Hypoglycemia C. Hypokalamia D. Respiratory changes

Correct Answer: A

Rationale: Trousseau's sign is a clinical sign characterized by carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes. It is indicative of hypocalcemia, specifically low calcium levels in the blood. Therefore, the nurse would monitor the client for Trousseau's sign to assess for potential hypocalcemia. This could prompt the healthcare provider to order further diagnostic tests or interventions to address the underlying calcium imbalance. Options B, C, and D do not directly relate to monitoring for Trousseau's sign.