Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
- A. The dialysate is clear upon return.
- B. The volume of drained dialysate is less than the volume infused.
- C. The child is restless and eager to play.
- D. The child's vital signs remain consistent with those noted during infusion.
Correct Answer: B
Rationale: A lower volume of drained dialysate compared to the volume infused suggests a possible obstruction or malfunction in the dialysis process. This finding could compromise the effectiveness of the treatment and needs prompt assessment and intervention by the nurse to ensure the child's safety and well-being.
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- A. Analyze HR and rhythm
- B. Assess for Homan’s sign
- C. Check BP
- D. Palpate the pedal pulses
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is assessing an infant who has hydrocephalus and is 6 hours postoperative following placement of a ventriculoperitoneal shunt. Which of the following findings should the provider report to the healthcare provider?
- A. Decreased urine output
- B. Temperature of 37.5 degrees C (99.5 degrees F)
- C. Heart rate 130/min
- D. Leakage of cerebrospinal fluid
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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- C. Offer the infant frequent, small feedings.
- D. Avoid using lotions on the infant's skin.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider 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?
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- B. I am only going to have my daughter wear cotton underwear.
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Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with cystic fibrosis is being taught about dietary guidelines. Which statement by the parent indicates an understanding of the teaching?
- A. My child should eat a high-calorie, high-protein diet.
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Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.