nur 4455 mod 4 nclex quiz version 1 nur4455 mod 4 nclex quiz| latestrasmussen college 100 correct
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NUR 4455 MOD 4 NCLEX QUIZ
1. The nurse is assigned to care for a child who is suspected of
having glomerulonephritis. The nurse reviews the child’s
record and notes that which finding is associated with the dx
of glomerulonephritis?
a. Hypotension
b. Red-brown urine
c. Low urinary specific gravity
d. Low blood urea nitrogen (BUN) level
Answer: B
Rationale: gross hematuria resulting in dark, smoky, cola colored,
or red brown urine is a classic symptom of glomerulonephritis and
hypertension is also common. BUN levels would be elevated.
2. A child is admitted to the hospital with a probable dx of
nephrotic syndrome. Which finding should the nurse except to
observe. Select all that apply:
a. Pallor
b. Edema
c. Anorexia
d. Proteinuria
e. Weight loss
f. Decreased sodium lipids
Answer: A, B, C, D
, Rationale: nephrotic syndrome is a kidney disorder that is
characterized by massive proteinuria, hypoalbuminemia, edema,
elevated serum lipids, anorexia, and pallor. The urine volume is
decreased, and the urine is dark and frothy in appearance. The
child with this condition gains weight.
3. The nurse is planning care for a child with hemolytic-uremic
syndrome (HUS). The child has been anuric and will be
receiving peritoneal dialysis treatment. The nurse should plan
to include which intervention in the care of the child?
a. Restriction of fluids as prescribed
b. Admin of analgesics as prescribed
c. Monitoring the arteriovenous (AV) fistula
d. Encouraging the intake of foods that are high in
potassium
Answer: A
Rationale: HUS is thought to be associated with bacterial toxins,
chemicals, and viruses that cause acute renal failure in children.
Clinical features include: thrombocytopenia, renal injury, fluid
restrictions due to dialysis treatment. Pain is not associated, and K
would be restricted rather than encouraged if the child was anuric.
4. The nurse is assisting with gathering admission assessment
data on a 2 year old child who has been dx with nephrotic
syndrome. The nurse collects data knowing that which is
common characteristic associated with nephrotic syndrome?
a. Hypotension
b. Generalized edema
c. Increased urinary output
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