Nokea
Renal childhood diseases responsible for chronic hypertension include
- A. nephrotic syndrome
- B. hemolytic uremic syndrome
- C. acute tubular necrosis
- D. congenital dysplastic kidney
Correct Answer: D
Rationale: Congenital dysplastic kidney is a common cause of chronic hypertension in children.
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What is the primary nursing intervention to prevent bacterial endocarditis?
- A. Institute measures to prevent dental procedures.
- B. Counsel parents of high-risk children about prophylactic antibiotics.
- C. Observe children for complications, such as embolism and heart failure.
- D. Encourage restricted mobility in susceptible children.
Correct Answer: B
Rationale: The objective of nursing care is to counsel the parents of high-risk children about both the need for prophylactic antibiotics for dental procedures and the necessity of maintaining excellent oral health. The child’s dentist should be aware of the child’s cardiac condition. Dental procedures should be done to maintain a high level of oral health. Prophylactic antibiotics are necessary. Children should be observed for complications such as embolism and heart failure and restricted mobility should be encouraged in susceptible children, but maintaining good oral health and prophylactic antibiotics is important.
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanasthesia unit. Before selecting which medication to administer, which action should the nurse implement?
- A. Document the client's report of pain in the electronic medical record
- B. Determine which prescription will have the quickest onset of action
- C. Compare the client's pain scale rating with the prescribed dosing
- D. Ask the client to choose which mediation is needed for pain
Correct Answer: C
Rationale: Comparing the pain scale rating with the prescribed dosing ensures that the appropriate medication is administered based on the severity of the pain.
Which statement by a parent of an infant with congestive heart failure (CHF) who is being sent home on digoxin indicates the need for further education?
- A. I will give the medication at regular 12-hour intervals.
- B. If he vomits, I will not give a make-up dose.
- C. If I miss a dose, I will not give an extra dose.
- D. I will mix the digoxin in some formula to make it taste better.
Correct Answer: D
Rationale: Mixing digoxin with formula can lead to incomplete ingestion and inadequate dosing. Digoxin must be given in its entirety at the prescribed times.
Drugs to be avoided in renal failure include:
- A. Allopurinol
- B. Digoxin
- C. Ceftazidime
- D. Acyclovir
Correct Answer: B
Rationale: Digoxin is avoided in renal failure due to its narrow therapeutic index and renal excretion, which can lead to toxicity.
The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching?
- A. “I should avoid tub baths but may shower.â€
- B. “I have to stay on strict bed rest for 3 days.â€
- C. “I should remove the pressure dressing the day after the procedure.â€
- D. “I may attend school but should avoid exercise for several days.â€
Correct Answer: B
Rationale: The child does not need to be on strict bed rest for 3 days. Showers are recommended; children should avoid a tub bath. The pressure dressing is removed the day after the catheterization and replaced by an adhesive bandage to keep the area clean. Strenuous activity must be avoided for several days, but the child can return to school.