ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Which is included in the diet of a child with minimal change nephrotic syndrome?
Correct Answer: B
Rationale: In children with minimal change nephrotic syndrome, it is important to include salt restriction in the diet. Salt restriction helps in managing edema by reducing fluid retention in the body. Excessive salt intake can contribute to fluid retention and edema in these patients. This dietary modification can help in controlling symptoms and managing the condition effectively. Other considerations for the diet may include monitoring protein intake to prevent complications related to kidney function.
Question 2 of 5
A nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor. Which drug should the nurse administer?
Correct Answer: A
Rationale: Angiotensin-converting enzyme (ACE) inhibitors, such as captopril, work by inhibiting the conversion of angiotensin I to angiotensin II. This leads to vasodilation, reduced aldosterone secretion, and ultimately decreases blood pressure. ACE inhibitors are commonly used in the management of hypertension, heart failure, and post-myocardial infarction. In this case, the nurse should administer captopril as it is an ACE inhibitor, while the other options (B. Furosemide, C. Spironolactone, D. Chlorothiazide) are not ACE inhibitors and have different mechanisms of action.
Question 3 of 5
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
Correct Answer: D
Rationale: Therapeutic management for rheumatic fever includes administering penicillin to eradicate the streptococcal infection, avoiding salicylates (aspirin) to prevent Reye's syndrome, and imposing strict bed rest for the acute phase to decrease cardiac workload and prevent joint complications. Corticosteroids are used if chorea (involuntary movement disorder) develops to reduce inflammation and control symptoms. Therefore, the nurse should expect to administer corticosteroids if chorea develops in a child with rheumatic fever.
Question 4 of 5
A client is being treated for acute pyelonephritis and will undergo laboratory tests. These tests are expected to help determine the clients BUN, creatinine, and serum electrolyte levels. Why should the nurse evaluate these test results?
Correct Answer: A
Rationale: Evaluating the client's BUN, creatinine, and serum electrolyte levels when being treated for acute pyelonephritis is crucial in determining the severity of the disorder. BUN and creatinine levels are indicators of renal function, where elevated levels may suggest impaired kidney function due to inflammation in the kidneys from pyelonephritis. Abnormal electrolyte levels, such as potassium and sodium, may also reflect the impact of the infection on renal function. Therefore, monitoring these test results helps healthcare providers assess how well the kidneys are functioning and the severity of the pyelonephritis to guide appropriate treatment decisions.
Question 5 of 5
A male client recently underwent a surgical procedure for a malignant tumor. As a result of the surgery, his urine is diverted to a stomal pouch. What should the nurse suggest so that he remains odor free.
Correct Answer: B
Rationale: Drinking cranberry juice can help decrease the odor of urine due to its acidic nature. The acid in cranberry juice can help neutralize odors in the urine, making it less noticeable. In contrast, consuming spicy foods (choice A) can actually increase the odor of urine. Similarly, choices C and D (eating eggs, asparagus, or cheese; drinking tea, coffee, and colas) can contribute to stronger-smelling urine due to the compounds they contain. Therefore, recommending cranberry juice to the male client with a stomal pouch is the most appropriate choice to help him remain odor-free.