ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD).
Question 1 of 5
The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?
Correct Answer: B
Rationale:
Correct
Answer: B - Shortness of breath
Rationale: Fluid overload in a child with renal failure undergoing CAPD can manifest as shortness of breath due to pulmonary congestion from excess fluid accumulation. This is because the peritoneal dialysis fluid may not be effectively removing the excess fluid from the body. Shortness of breath is a key indicator of fluid overload in this context, as the child may experience difficulty breathing due to increased volume of fluid in the lungs.
Incorrect
Choices:
A: Poor skin turgor is a sign of dehydration, not fluid overload.
C: Redness at the tube insertion site may indicate infection, not fluid overload.
D: Fever may suggest infection or other systemic issues, not specifically fluid overload.
Summary: Shortness of breath is the most relevant indicator of fluid overload in a child with renal failure undergoing CAPD, as it directly reflects the inability of the dialysis process to adequately remove excess fluid. The other choices are more indicative of different issues such as dehydration
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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