a child is admitted with renal failure which of these findings should the nurse expect
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Nursing Elites

ATI RN

Nursing Care of Children Final ATI

1. A child is admitted with renal failure. Which of these findings should the nurse expect?

Correct answer: B

Rationale: Azotemia (elevated BUN and creatinine) and oliguria (reduced urine output) are classic signs of renal failure, indicating impaired kidney function. In renal failure, the kidneys are unable to effectively filter waste products, leading to an increase in BUN and creatinine levels in the blood. Additionally, oliguria occurs due to decreased kidney function. Increased GFR (Choice C) is not expected in renal failure as it signifies improved kidney function, which is not the case in renal failure. Polyuria and elevated creatinine clearance (Choice D) are not typical findings in renal failure. Polyuria is more commonly associated with conditions like diabetes insipidus, while elevated creatinine clearance would indicate increased kidney function, which is contrary to the impaired function seen in renal failure.

2. A two-month-old infant who has gastroesophageal reflux is thriving without other complications. Which instruction should the nurse include in the teaching plan?

Correct answer: B

Rationale: The correct instruction for a two-month-old infant with gastroesophageal reflux who is thriving without complications is to thicken the formula with rice cereal. This can help reduce reflux by increasing the weight of the formula, making it less likely to be regurgitated. Placing the infant in the Trendelenburg position after feeding (Choice A) is not recommended as it can increase the risk of aspiration. Continuous nasogastric feedings (Choice C) are not typically indicated for uncomplicated reflux in infants. Giving larger, less frequent feeds (Choice D) can worsen reflux symptoms by overloading the stomach.

3. What diet is most appropriate for the child with chronic renal failure (CRF)?

Correct answer: C

Rationale: A low-phosphorus diet is important in managing chronic renal failure to prevent hyperphosphatemia and its associated complications, such as bone disease. Protein intake should be controlled but not necessarily low, and vitamin D supplementation is often required, not reduced.

4. Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?

Correct answer: B

Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.

5. Which is a consequence of the physical punishment of children, such as spanking?

Correct answer: D

Rationale: Physical punishment, such as spanking, may result in children misbehaving when parents are not present, as it does not teach appropriate behavior or self-regulation.

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