Nokea
A child with a diagnosis of nephrotic syndrome is being treated with corticosteroids. What is an important nursing consideration?
- A. Monitor for signs of infection
- B. Monitor blood pressure
- C. Monitor for hyperglycemia
- D. Monitor for hypertension
Correct Answer: A
Rationale: When a child with nephrotic syndrome is undergoing treatment with corticosteroids, it is crucial to monitor for signs of infection. Corticosteroids can suppress the immune system, increasing the child's susceptibility to infections. Monitoring for signs of infection allows for early detection and prompt intervention. While monitoring blood pressure, hyperglycemia, and hypertension are important considerations in certain conditions and treatments, they are not the primary concern when a child with nephrotic syndrome is on corticosteroid therapy.
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A group of students is reviewing the components of the endocrine system. The students demonstrate understanding of the review when they identify what as the primary function of this system?
- A. Regulation of water balance
- B. Hormonal secretion
- C. Cellular metabolism
- D. Growth stimulation
Correct Answer: B
Rationale: The primary function of the endocrine system is hormonal secretion. This system is responsible for producing and releasing hormones that regulate various bodily functions such as growth, metabolism, and mood. Choice A, regulation of water balance, is more related to the functions of the renal system rather than the endocrine system. Choice C, cellular metabolism, is a general cellular process that involves various systems, not specific to the endocrine system. Choice D, growth stimulation, though hormones can influence growth, it is not the primary function of the endocrine system. Therefore, the correct answer is B.
A child with a diagnosis of gastroenteritis is admitted to the hospital. What is the priority nursing intervention?
- A. Monitoring fluid and electrolyte balance
- B. Encouraging regular exercise
- C. Administering antipyretics
- D. Administering antibiotics
Correct Answer: A
Rationale: The correct answer is monitoring fluid and electrolyte balance. Gastroenteritis is characterized by inflammation of the gastrointestinal tract, leading to fluid loss. Maintaining fluid and electrolyte balance is essential in managing gastroenteritis to prevent dehydration and electrolyte imbalances. Encouraging regular exercise (Choice B) is not a priority in the acute phase of gastroenteritis when the focus is on rehydration and symptom management. Administering antipyretics (Choice C) may be considered for fever management but is not the priority over monitoring fluid and electrolyte balance. Administering antibiotics (Choice D) is not routinely indicated for viral gastroenteritis, which is a common cause of the condition in children.
A 1-year-old child has a congenital cardiac malformation that causes right-to-left shunting of blood through the heart. What clinical finding should the nurse expect?
- A. Proteinuria
- B. Peripheral edema
- C. Elevated hematocrit
- D. Absence of pedal pulses
Correct Answer: C
Rationale: In a child with a congenital cardiac malformation causing right-to-left shunting of blood, the nurse should expect an elevated hematocrit. This occurs because the body compensates for decreased oxygenation by producing more red blood cells. Proteinuria (Choice A) is not a typical clinical finding related to right-to-left shunting. Peripheral edema (Choice B) is more commonly associated with conditions causing volume overload, such as left-sided heart failure. Absence of pedal pulses (Choice D) is not directly related to right-to-left shunting but may be seen in conditions affecting peripheral circulation.
A child with a diagnosis of congenital heart disease is admitted to the hospital. What should the nurse include in the child's care plan?
- A. Monitoring fluid status
- B. Encouraging activity
- C. Promoting a high-calorie diet
- D. Maintaining oxygen therapy
Correct Answer: A
Rationale: Monitoring fluid status is crucial for a child with congenital heart disease because these children are at risk of fluid overload, which can exacerbate their condition. Monitoring fluid intake and output helps prevent complications such as heart failure. Encouraging activity may be important, but it should be done cautiously and within limits due to the child's cardiac condition. Promoting a high-calorie diet is not typically a priority in congenital heart disease care unless there are specific indications. Maintaining oxygen therapy may be necessary in some cases but is not the primary intervention for managing congenital heart disease.
A 3-year-old child is admitted to the hospital with a diagnosis of Kawasaki disease. What is the priority nursing intervention?
- A. Administering IV immunoglobulin
- B. Monitoring for coronary artery aneurysms
- C. Encouraging fluid intake
- D. Providing nutritional support
Correct Answer: B
Rationale: The priority nursing intervention for a 3-year-old child with Kawasaki disease is monitoring for coronary artery aneurysms. Kawasaki disease can lead to coronary artery complications, making early detection crucial in preventing serious outcomes. Administering IV immunoglobulin is a standard treatment for Kawasaki disease but does not take precedence over monitoring for potential complications. Encouraging fluid intake and providing nutritional support are important aspects of care but are not the priority when compared to monitoring for coronary artery aneurysms to prevent long-term cardiac issues.