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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: While monitoring blood pressure and symptoms is important, it is not a self-management outcome.
Choice B reason: Taking up to 4 nitroglycerine tablets may be part of the treatment plan, but it is not an outcome.
Choice C reason: Encouraging daily exercise is good, but it does not address the management of chest pain on exertion.
Choice D reason: This is the correct choice. Recording episodes of angina and self-management strategies provides valuable information for adjusting treatment and empowering the patient.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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Which of the following is a major complication in a child with chronic renal failure?

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Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

Correct Answer is D

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

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