what nursing consideration is most important when caring for a child with end stage renal disease esrd

ATI RN

RN Nursing Care of Children 2019 With NGN

1. What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)?

A. Children with ESRD usually adapt well to minor inconveniences of treatment.
B. Children with ESRD require extensive support until they outgrow the condition.
C. Multiple stresses are placed on children with ESRD and their families until the illness is cured.
D. Multiple stresses are placed on children with ESRD and their families because children's lives are maintained by drugs and artificial means.

Correct answer: D

Rationale: ESRD places significant stress on both the child and the family due to the ongoing need for dialysis, medications, and lifestyle restrictions, making it important for healthcare providers to offer extensive support and resources to manage these challenges.

2. The parents of a young child ask the nurse for suggestions about discipline. When discussing the use of time-outs, which should the nurse include?

A. Send the child to his or her room if the child has one.
B. A general rule for length of time is 1 hour per year of age.
C. Select an area that is safe and nonstimulating, such as a hallway.
D. If the child cries, refuses, or is more disruptive, try another approach.

Correct answer: C

Rationale: Time-outs should be in a safe, nonstimulating area, with the length typically being 1 minute per year of the child's age, not 1 hour.

3. The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which?

A. Use the small cuff
B. Use the large cuff
C. Use either cuff using the palpation method
D. Wait to take the blood pressure until a proper cuff can be located

Correct answer: D

Rationale: It is essential to use the correct cuff size for accurate blood pressure readings; if the proper size is not available, it's best to wait until it can be obtained.

4. What is a common significant side effect of opioid administration?

A. Euphoria
B. Diuresis
C. Constipation
D. Allergic reactions

Correct answer: C

Rationale: Constipation is one of the most common side effects of opioid administration due to the slowing down of gastrointestinal motility. Opioids affect the bowel movements, leading to constipation. Euphoria, while a possible effect, is less common than constipation. Diuresis is not a typical side effect of opioids; instead, urinary retention may occur. Allergic reactions are rare side effects of opioids, with symptoms such as rash, itching, or anaphylaxis.

5. In assessing sexual maturity levels, which tool would you expect to use?

A. Denver II Developmental Screening
B. Tanner staging
C. Antibody testing
D. Nursing process

Correct answer: B

Rationale: The correct answer is B: Tanner staging. Tanner staging is a tool specifically used to assess sexual maturity in adolescents based on the development of secondary sexual characteristics. The Tanner scale ranges from stage 1 (prepubertal) to stage 5 (adult maturity). This tool helps healthcare providers evaluate the physical development and sexual maturation of individuals. Choice A, the Denver II Developmental Screening, is used to assess developmental milestones in children. Choice C, antibody testing, is a diagnostic tool used to detect the presence of specific antibodies in the blood. Choice D, the nursing process, is a systematic method that nurses use to deliver patient-centered care, involving assessment, diagnosis, planning, implementation, and evaluation.