Test Bank for Maternity and
Pediatric Nursing 4th Edition
All Chapters Questions and
Answers
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1. The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-
CD3. What would the nurse most likely expect to assess after the first dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite
Ans: A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea, and vomiting. Cough
and hyperkalemia are associated with angiotensin-converting enzyme inhibitors. Photosensitivity and GI upset are
often associated with diuretics. Urinary retention and decreased appetite are associated with imipramine.
Page 2 of 27 Test
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2. The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse documents gross hematuria with
a specimen of which color?
A) Cloudy yellow
B) Cola colored
C) Pale to almost clear urine
D) Light orange to moderately yellow colored
Ans: B
Feedback:
Gross hematuria causes the urine to appear tea, cola, or even dirty green colored. Cloudy urine is typically a sign of
infection. Normal urine ranges from moderately yellow to pale or almost clear. Orange-colored urine can occur
because of medication.
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