Nokea
Hyperkalemia without K+ excess occurs in:
- A. Potassium-sparing diuretics
- B. Leukocytosis and tumor lysis syndrome
- C. Renal failure
- D. Addison's disease
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Interpret the following ABG results (pH: 7.48 - PaCO2: 42 - HCO3:30):
- A. Metabolic acidosis without compensation
- B. Respiratory alkalosis with partial compensation
- C. Respiratory alkalosis with full compensation
- D. Metabolic alkalosis without compensation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child has a brain tumor. Which of the following findings should the nurse expect?
- A. Decreased head circumference
- B. Frequent headaches
- C. Increased appetite
- D. Increased blood pressure
Correct Answer: B
Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.
What is an initial sign of nephrosis that the nurse might note in a child?
- A. Raspberry-like rash
- B. Periorbital edema
- C. Temperature elevation
- D. Abdominal pain
Correct Answer: B
Rationale: In nephrotic syndrome, edema is a common symptom that is generalized and not easily noticeable, even by parents. However, an early sign that can be assessed by the nurse is periorbital edema, which refers to swelling around the eyes. This can be an initial indicator of nephrosis and may prompt further evaluation and intervention.
Which menu choices for a child diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?
- A. Carrots and green, leafy vegetables
- B. Spaghetti and meat sauce with breadsticks
- C. Hamburger on a bun and cherry gelatin
- D. Chips, cold cuts, and canned foods
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The organ most seriously affected by secondary amyloidosis in patients with familial Mediterranean fever (FMF) is
- A. kidney
- B. lung
- C. nerve
- D. heart
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.