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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

Answer and Explanation

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).

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Reye syndrome is associated with misuse of acetaminophen."

It is associated with aspirin, not acetaminophen, especially when used during viral illnesses like influenza or varicella.

B. "Reye syndrome leads to venous thrombus formation."

Venous thrombosis is not a hallmark feature. Reye syndrome affects the liver and brain, not the vascular system in this way.

C. "Reye syndrome causes steatotic or fatty changes in the liver."

Reye syndrome is characterized by fatty liver changes and cerebral edema, typically following viral infections treated with aspirin.

D. "Reye syndrome is linked to decreased serum ammonia levels."

In fact, serum ammonia levels increase due to liver dysfunction and impaired urea cycle function.

A. Fruity breath odor B. Excessive thirst C. Negative ketones D. Abdominal pain E. Sweating F. Nightmares G. Double vision H. Headache

Correct Answer is ["A","B","D","E","H"]

Explanation

A. Fruity breath odor: Expected during hyperglycemia or diabetic ketoacidosis; useful to teach for early recognition of complications.

B. Excessive thirst: Expected in diabetes; teaching should reinforce fluid needs and early symptom identification.

C. Negative ketones: Not expected to teach, as it is a lab result, not a symptom.

D. Abdominal pain: Expected in hyperglycemia or ketoacidosis.

E. Sweating: Expected in hypoglycemia, important for future recognition.

F. Nightmares: Unrelated to diabetes.

G. Double vision: More typical of severe hyperglycemia or other neurological issues.

H. Headache: Expected symptom of hypoglycemia.

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A nurse is assessing a child who has an acute kidney injury. Which of the following clinical manifestations should the nurse expect?

Nursing Test Bank

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