Nokea
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
- A. Infection
- B. Urinary retention
- C. Easy bruising
- D. Hypoglycemia
Correct Answer: A
Rationale: Prednisone depresses the immune response and increases susceptibility to infection.
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A 7-year-old child has a BUN of 25 mg/dL. What is the nurse aware this lab value might indicate? (Select all that apply.)
- A. Dehydration
- B. Renal disease
- C. Need for steroid therapy
- D. Diabetes
- E. Pituitary malfunction
Correct Answer: A,B,C
Rationale: Increased BUN can indicate dehydration, renal disease, and/or need for steroid therapy.
The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
- A. My daughter should wash and wipe the perineal area from front to back.'
- B. I am only going to have my daughter wear cotton underwear.'
- C. It is acceptable to take frequent bubble baths.'
- D. She needs to drink lots of fluids and void frequently.'
Correct Answer: C
Rationale: Oils in bubble bath and similar products are known to irritate the urethra.
The nurse explains the medically accepted definition of constipation is fewer than bowel movements in a 2-week period.
Correct Answer: 7
Rationale: The medically accepted definition of constipation is fewer than seven bowel movements in a 2-week period.
A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause?
- A. Recovery from German measles 2 months ago
- B. Dysuria since the previous night
- C. A history of allergy
- D. A sore throat 2 weeks ago
Correct Answer: D
Rationale: Acute glomerulonephritis develops from 1 to 3 weeks after a streptococcal infection.
What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.)
- A. Diaper infant tightly.
- B. Protect skin around bladder.
- C. Position infant on back.
- D. Prepare for surgical closure.
- E. Cover exposed bladder with shield.
Correct Answer: B,C,D,E
Rationale: The infant is kept on his back or side with special attention to the skin around the exposed bladder, which is constantly bathed with urine.