A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
"Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood."
"Hemodialysis uses an electrolyte solution to clean your child's blood."
"Hemodialysis uses an artificial membrane outside the body to clean your child's blood."
"Hemodialysis slowly filtrates your child's blood continuously."
The Correct Answer is C
Rationale:
A. This statement describes peritoneal dialysis, not hemodialysis.
B. Hemodialysis does not use an electrolyte solution to clean the blood.
C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids.
D. Hemodialysis involves intermittent filtration of the blood, not continuous filtration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Minimizing movement of the limbs is not necessary during a seizure and can be harmful.
B. Clearing the area of hard objects helps prevent injury to the child during a seizure by reducing the risk of hitting or bumping into objects.
C. Placing the child in a prone position is not recommended during a seizure as it can obstruct the airway.
D. Inserting a tongue blade between the teeth is contraindicated and can lead to injury. It's important not to put anything in the child's mouth during a seizure.
Correct Answer is []
Explanation
Correct Answers:
Condition Most Likely Experiencing: C
Actions to Take: A, B
Parameters to Monitor: B, C
Rationale:
Condition Most Likely Experiencing
A. Pyloric stenosis causes projectile vomiting, dehydration, and hunger.
B. Cystic fibrosis causes chronic respiratory infections, steatorrhea, and failure to thrive.
C. The condition that the infant is most likely experiencing is congestive heart failure, which can cause poor weight gain, tachypnea, decreased appetite, and periorbital edema.
D. Respiratory syncytial virus bronchiolitis causes wheezing, coughing, and respiratory distress.
Actions to Take
A. Elevating the head of the bed can help reduce the workload of the heart and improve breathing.
B. Digoxin can increase the contractility of the heart and decrease the heart rate.
C. Contact precautions are not indicated for congestive heart failure, but for infections that are transmitted by direct or indirect contact.
D. Chest physiotherapy and postural drainage are not indicated for congestive heart failure, but for conditions that cause excessive mucus production and retention.
Parameters to Monitor
A. Number of steatorrhea stools is not relevant for congestive heart failure, but for cystic fibrosis or other malabsorption disorders.
B. Intake and output can indicate fluid balance and renal function.
C. Respiratory status can reflect cardiac function and oxygenation.
D. Presence of periorbital edema is not a parameter to monitor, but a sign of fluid overload.
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