(^274) Pediatric Nursing Demystified
- A patient being treated for glomerulonephritis is prescribed Kayexalate. His mother
asks why this medication is prescribed. What is the best response?
a. Increases potassium that has decreased due to chronic glomerulonephritis
b. Increases potassium that has decreased due to acute glomerulonephritis
c. Removes potassium that has increased due to acute glomerulonephritis
d. Removes potassium that has increased due to chronic glomerulonephritis - The parents of a child with a recently diagnosed with Wilms tumor asks why
must the health-care provider stage the tumor. What is your best response?
a. To assess if the tumor has metastasized and if so where it has metastasized
b. To determine the child’s level of discomfort
c. To determine the best course of treatment
d. To prevent the tumor from spreading - A parent of a child who is diagnosed with hemolytic uremic syndrome asks why
her child’s kidney became enlarged. What is your best response?
a. A tumor developed on the kidney
b. Blood vessels within the kidneys became blocked by lesions
c. The child has a bacterial infection
d. The child has injected too much fluid - The health-care provider asks the patient’s mother to collect a urine sample
from the patient so the sample can be sent for a culture and sensitivity study. The
mother asks you why this is done. How would you respond?
a. Explain that the culture and sensitivity study identifies microorganism that causes
the infection
b. Explain that the culture and sensitivity study identifies RBC and WBC in the
urine
c. Explain that the culture and sensitivity study identifies microorganism that causes
the infection and the antibiotic that kills the microorganism
d. Explain that the culture and sensitivity study identifies nitrites in the urine - A parent of a child diagnosed with renal failure overhears the health-care
provider saying that the child has signs of third spacing of fluids. She asks you
what this means. What is your best response?
a. I’ll ask the health-care provider to explain this to you.
b. There is a backup of fluid because the kidneys are not working properly.
c. Extracellular fluids are contained either in the interstitial compartment or the intravas-
cular compartment. Renal failure causes fluids to move into a third compartment
within the body.
d. Fluid that is outside the cell is stored in tissue or in the vascular system. Renal
failure causes fluid to enter other areas of the body other than tissue or the vascular
system, resulting in edema.