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.
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Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
Rationale:
A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.
B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.
C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.
E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Correct Answer is C
Explanation
Rationale:
A. Missing front deciduous teeth are a common occurrence during childhood and are not necessarily indicative of physical abuse.
B. Weight in the 45th percentile is within the normal range for a 7-year-old and does not indicate physical abuse.
C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained.
D. Abrasions on the knees are common in children who are active and are not necessarily indicative of physical abuse.
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