Which of the following is a major complication in a child with chronic renal failure?
Congestive heart failure.
Metabolic alkalosis.
Excessive excretion of blood urea nitrogen.
Hypokalemia.
The Correct Answer is A
Choice A reason: This is the correct choice. Congestive heart failure can occur in chronic renal failure due to fluid overload and the inability of the kidneys to manage fluid balance.
Choice B reason: Metabolic alkalosis is not typically a major complication of chronic renal failure; metabolic acidosis is more common due to the accumulation of acids in the body.
Choice C reason: Excessive excretion of blood urea nitrogen is not a complication; rather, in renal failure, the kidneys cannot excrete urea nitrogen effectively.
Choice D reason: Hypokalemia (low potassium) can occur, but it is not as major a complication as congestive heart failure in the context of chronic renal failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.
Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.
Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.
Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.
Correct Answer is D
Explanation
Choice A reason: Increased deep tendon reflexes are not typically associated with hyponatremia.
Choice B reason: Bradycardia is a concern but is not the most immediate complication of hyponatremia.
Choice C reason: Respiratory distress may occur, but it is not the primary concern with hyponatremia.
Choice D reason: This is the correct choice. Seizures can occur with severe hyponatremia and require immediate intervention. The nurse should monitor the child closely for any signs of neurological changes.
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