the parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often what knowledge sh

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply?

A. The antibiotic therapy contributes to labile blood pressure values.
B. Hypotension leading to sudden shock can develop at any time.
C. Acute hypertension is a concern that requires monitoring.
D. Blood pressure fluctuations indicate that the condition has become chronic.

Correct answer: C

Rationale: Acute hypertension is a common complication of acute glomerulonephritis, requiring frequent monitoring to prevent complications such as encephalopathy or heart failure. Blood pressure fluctuations can occur but are not necessarily indicative of chronic disease.

2. What statement best describes Hirschsprung disease?

A. The colon has an aganglionic segment.
B. It results in frequent evacuation of solids, liquid, and gas.
C. The neonate passes excessive amounts of meconium.
D. It results in excessive peristaltic movements within the gastrointestinal tract.

Correct answer: A

Rationale: Hirschsprung disease is characterized by the absence of ganglion cells in a segment of the colon, leading to a lack of peristalsis and obstruction. The other options do not accurately describe this condition.

3. The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?

A. Adapt, as necessary, ethnic practices to health needs
B. Attempt, in a nonjudgmental way, to change ethnic beliefs
C. Encourage continuation of ethnic practices in the hospital setting
D. Strive to keep ethnic background from influencing health needs

Correct answer: A

Rationale: Adapting ethnic practices to health needs respects the patient's cultural background while ensuring that care is effective and culturally sensitive.

4. What test is used to screen for carbohydrate malabsorption?

A. Stool pH
B. Urine ketones
C. C urea breath test
D. ELISA stool assay

Correct answer: A

Rationale: Stool pH testing is used to screen for carbohydrate malabsorption. A low pH indicates the presence of unabsorbed carbohydrates, which are fermented by bacteria, leading to acidic stool.

5. An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?

A. Giving half of the solution and then repeating the other half in 1 hour
B. Mixing with a flavorful beverage in an opaque container with a straw
C. Serving it in a clear plastic cup so the child can see how much has been drunk
D. Administering it through a nasogastric tube because the child will not drink it because of the taste

Correct answer: B

Rationale: Mixing activated charcoal with a flavorful beverage in an opaque container can help mask the taste and encourage the child to ingest it. Using an opaque container can prevent the child from seeing the unappealing appearance of the charcoal mixture, increasing compliance.