The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

Hyperthermia

Respiratory distress

Bradycardia

Seizure

Answer and Explanation

The Correct Answer is D

a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.

b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.

c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.

d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.

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Correct Answer is ["A","B","C","E"]

Explanation

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

A. Hug his teddy bear when he coughs B. Blow bubbles to prevent coughing episodes C. Take a sip of apple juice before coughing D. Ask for codeine cough syrup when he coughs

Correct Answer is A

Explanation

a) Hug his teddy bear when he coughs: Splinting the chest while coughing can reduce discomfort.

b) Blow bubbles to prevent coughing episodes: Not effective for reducing cough-induced pain.

c) Take a sip of apple juice before coughing: Drinking before coughing may not significantly alleviate the discomfort.

d) Ask for codeine cough syrup when he coughs: Medication should be given based on medical advice and prescription, not as a self-request by a child.

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The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Correct Answer is ["A","B","C","E"]

Explanation

A 3-year-old with bacterial pneumonia is crying and says it hurts when he coughs. The nurse would teach the child to do which of the following?

Correct Answer is A

Explanation

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