A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Place the child on a low-sodium diet.

Monitor the child for fluid volume excess.

Discuss the manifestations of hyperglycemia with the parents.

Teach the parents about cortical replacement therapy.

Answer and Explanation

The Correct Answer is D

A.   Placing the child on a low-sodium diet is not a priority action for managing Addison's disease. Sodium restriction may be necessary in some cases, but it's not the primary intervention.
B.   Monitoring the child for fluid volume excess is not directly related to managing Addison's disease. Addison's disease often leads to hypovolemia due to decreased aldosterone secretion.
C.   Discussing manifestations of hyperglycemia may not be directly relevant to Addison's disease, which primarily affects cortisol and aldosterone levels, not glucose metabolism.
D.   Teaching the parents about cortical replacement therapy is crucial. Addison's disease results from adrenal insufficiency, and cortical replacement therapy, typically with glucocorticoids and mineralocorticoids, is the mainstay of treatment.

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Correct Answer is B

Explanation

A. Having a pacemaker is not a contraindication for kidney transplant unless there are significant underlying cardiac issues that would increase the risks associated with surgery.
B. Chronic alcohol abuse can lead to multiple organ damage and increased surgical risks, making it a contraindication for kidney transplant.
C. Being a breast cancer survivor is not a contraindication for kidney transplant unless there are active cancer or metastases that would affect surgical outcomes.
D. Age alone is not a contraindication for kidney transplant. The decision for transplant candidacy is based on overall health status and comorbidities rather than age alone.

A. Obesity B. Protein in the urine C. Iron deficiency D. Dehydration

Correct Answer is D

Explanation

A. While obesity can contribute to certain health conditions, it is not a direct risk factor for the formation of renal calculi.
B. Proteinuria may indicate kidney dysfunction, but it is not a direct risk factor for the formation of renal calculi.
C. Iron deficiency is not directly associated with an increased risk of renal calculi formation.
D. Dehydration can lead to concentrated urine, which increases the risk of crystal formation and subsequently the formation of renal calculi.

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A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is B

Explanation

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Correct Answer is D

Explanation

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