A nurse is assessing a child who has an acute kidney injury. Which of the following clinical manifestations should the nurse expect?
Decreased respiratory rate
Polyuria
Hyperactivity
Edema
The Correct Answer is D
A. Decreased respiratory rate:
Respiratory rate may increase due to fluid overload and acidosis, but decreased rate is not typical.
B. Polyuria:
In the initial phase of AKI, oliguria (low urine output) is common, not polyuria.
C. Hyperactivity:
Hyperactivity is unrelated to AKI; lethargy and confusion are more likely.
D. Edema:
Edema occurs due to fluid retention from decreased urine output in acute kidney injury (AKI).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Expect the medication to cause constipation for the first few days of therapy."
Metformin more commonly causes diarrhea, nausea, and abdominal discomfort, not constipation.
B. "Take the medication at the same time each day."
Consistent dosing helps maintain stable blood glucose levels. Metformin is usually taken once or twice daily with meals.
C. "This medication is used for short-term therapy until your symptoms improve."
Type 2 diabetes is a chronic condition. Metformin is often used as a long-term maintenance therapy.
D. "Take this medication 1 hour before meals."
Metformin should be taken with meals to reduce gastrointestinal side effects, not on an empty stomach.
Correct Answer is A
Explanation
A. "I should pull the pinna down and back."
For children younger than 3 years, pulling the pinna down and back straightens the ear canal for proper drop administration.
B. "I should insert the dropper into the ear canal."
The dropper should never be inserted into the canal to prevent injury or contamination.
C. "I should administer the ear drops right out of the refrigerator."
Cold ear drops can cause dizziness. Warm the bottle in the hand before use.
D. "I should massage the area behind the ear."
The correct technique involves massaging the tragus (front of the ear canal), not behind the ear.
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