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VATI Care of children 2019 Questions With Complete Solutions
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VATI Care of children 2019 Questions With Complete Solutions
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VATI Care of children 2019A nurse is providing nutritional teaching to the patents of a child
who has acute glomerulonephritis with pitting edema. Which of
the following foods should the nurse recommend be eliminated
from the child's diet?' Correct Answers Hot dogs
➡ Results in edema, HTN, hematuria and proteinuria. Dietary
changes requires limit foods high in sodium because of the
edema and HTN. (Hot dogs, or other processed meats)
glomerulonephritis - Glomerulonephritis is a type of kidney
disease where these coils become inflamed. This makes it hard
for the kidneys to filter the blood
Diet changes to child's diet include protein and how much child
may need, potassium may be limited, phosphorus limits
(phosphorus makes bones weak), a low-sodium diet
glomerulonephritis - Acute and chronic glomerulonephritis can
develop from a systemic infection and involves the glomeruli of
the kidney or the area responsible for filtering particles from the
blood to make urine.
Pitting edema - occurs when excess fluid builds up in the body,
causing swelling; when pressure is applied to the swollen area, a
"pit", or indentation, will remain.
A nurse in an emergency department is assessing a 5-year-old
child who has a concussion. Which of the following
,manifestations should the nurse identify as an early indication of
ICP? Correct Answers Nausea
➡ Early findings of ICP (N + V normally projectile)
A nurse is creating a plan of care for a school-age child who has
moderate partial thickness burns on both lower extremities.
Which of the following interventions should the nurse include in
the plan? Correct Answers Maintain aseptic technique during
the child dressing changes.
➡ To prevent infection. Delayed wound healing can occur due
to infection, which can also cause partial thickness wounds to
develop into full thickness wounds.
,A charge nurse on a pediatric unit is reviewing informed consent
guidelines with newly licensed nurse. For which of the
following clients should the nurse obtain informed consent from
a guardian? Correct Answers A 15-year-old client who requires
an open reduction of a fracture.
➡ Sign consent prior to surgical procedures for a minor.
• Informed consent is a legal process by which a client or the
client's legally appointed designee has given written permission
for a procedure or treatment. Consent is informed when a
provider explains and the client understands:
➡ The reason the client needs the treatment or procedure.
➡ How the treatment or procedure will benefit the client.
➡ The risks involved if the client chooses to receive the
treatment or procedure.
➡ Other options to treat the problem, including not treating the
problem.
, • The nurse's role in the informed consent process is to witness
the client's signature on the informed consent form and to ensure
that the provider has obtained the informed consent responsibly.
A nurse is caring for a child who has terminal leukemia. The
parents asks the nurse, "When will we know that our child is
nearing the end of their life?" Which of the following statements
should the nurse make? Correct Answers Your child will lose
movement in their legs.
➡ Lose movement in the lower extremities. This progressive
loss of movement will move up the body as death nears.
• Leukemias are cancers of white blood cells or of cells that
develop into white blood cells. In leukemia, the white blood
cells are not functional. They invade and destroy bone marrow,
and they can metastasize to the liver, spleen, lymph nodes,
testes, and brain.
A nurse is providing home care instructions to the parents of a
child who is in the edema phase of nephrotic syndrome. Which
of the following instructions should the nurse include in the
teaching? Correct Answers Provide quite activities for the
child.
➡ Provide quite activities, such as reading and coloring, during
edema phase of nephritis to minimize oxygen consumption and
preserve energy.
• Kidney Failure (nephrotic syndrome); kidney cannot remove
waist and balance fluids
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