An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?- Skildor

Question 1 of 5

An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?

A. Decreased urinary output B. Decreased periorbital edema C. Increased periods of rest D. Weight gain of 0.5 kg/day

Correct Answer: B

Rationale: In nephrotic syndrome treatment, decreased periorbital edema is a positive therapeutic response as it indicates a reduction in fluid retention. Periorbital edema is a common symptom of nephrotic syndrome due to fluid accumulation, so a decrease in this swelling signifies an improvement in the condition.

Question 2 of 5

After observing a mother giving her 11-month-old ferrous sulfate followed by two ounces of orange juice, what should the nurse do next?

A. Suggest placing the iron drops in the orange juice and feed the infant. B. Advise the mother to follow the iron drops with formula instead of orange juice. C. Instruct the mother to feed the infant nothing in the next 30 minutes after the iron. D. Give positive feedback about the way she administered the sulfate.

Correct Answer: D

Rationale: Providing positive feedback is essential in reinforcing correct behaviors. By praising the mother for properly administering the ferrous sulfate to her 11-month-old, the nurse can encourage her to continue following the correct procedure. This positive reinforcement can boost the mother's confidence and adherence to the recommended administration method, ultimately benefiting the infant's health.

Question 3 of 5

The parents of a 3-year-old boy who has Duchenne muscular dystrophy (DMD) ask, 'how can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide these parents?

A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family. B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage. C. The lack of the protein dystrophin in the mother can impact the muscle groups of males. D. Damage to the spinal cord due to birth trauma from a breech vaginal birth weakens the muscles.

Correct Answer: A

Rationale: The nurse should inform the parents that Duchenne muscular dystrophy is an X-linked recessive disorder, which primarily affects male children in the family. This genetic condition is caused by a mutation in the dystrophin gene located on the X chromosome. Females are usually carriers of the gene mutation and may pass it on to their sons. Daughters of carrier mothers have a 50% chance of being carriers themselves. Understanding the genetics of DMD can help the parents make informed decisions about family planning and genetic counseling.

Question 4 of 5

A mother reports to the nurse at the pediatric clinic that her toddler has had a fever and sore throat for the past two days. The nurse observes several swollen red spots on the child's body, some of which are fluid-filled blisters. What action should the nurse take?

A. Obtain a fluid culture from the blisters B. Administer a fever-reducing medication C. Cover the draining vesicles with a dressing D. Implement transmission precautions

Correct Answer: D

Rationale: The presence of swollen red spots and fluid-filled blisters may indicate a contagious condition. Implementing transmission precautions is crucial to prevent the spread of the infection to others in the clinic setting.

Question 5 of 5

When observing a distraught mother scolding her 3-year-old son for wetting his pants in the hallway of a pediatric unit, what initial action should the nurse take?

A. Suggest that the mother consult a pediatric nephrologist. B. Provide disposable training pants while calming the mother. C. Refer the mother to a community parent education program. D. Inform the mother that toilet training is slower for boys.

Correct Answer: B

Rationale: In this situation, the nurse's initial action should be to provide disposable training pants to manage the immediate issue of wetting while also calming the mother. This approach addresses the current distressing situation and offers a practical solution to alleviate the mother's concerns.

HESI Practice Test Pediatrics

Skildor

HESI RN

HESI RN

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