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• Question
1 2.5 out of 2.5
points
Which is an objective of care for a 10-year-old child with minimal
change nephrotic syndrome?
Selecte
c.
d
Reduce excretion of urinary
Answer:
protein.
c.
Corre Reduce excretion of urinary
ct protein.
Answe
The objectives of therapy for the child with minimal
r:
change nephrotic syndrome include reduction of the
excretion of urinary protein, reduction of fluid
retention, prevention of infection, and minimization of
Respon complications associated with therapy. Blood pressure is
se usually not elevated in minimal change nephrotic
Feedba syndrome. Excretion of urinary protein and fluid
ck: retention are part of the disease process and must be
reversed.
• Question
2
2.5 out of 2.5
points
The nurse is admitting a newborn with hypospadias to the nursery.
NURS 340 PEDS Exam Questions And Answers
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The nurse expects which finding in this newborn?
Selecte
a.
d
The urethral opening is along the ventral surface of
Answer:
the penis.
a.
Corre The urethral opening is along the ventral surface of
ct the penis.
Answe
Hypospadias is a congenital condition in which the
r:
urethral opening is located anywhere along the ventral
surface of the penis. The urethral opening is present, but
not at the glans. Hypospadias refers to the urethral
Respon opening, not to the size of the penis. A urethral opening
se along the ventral surface of the penis is known as
Feedba epispadias.
ck:
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Question 35 out of 2.5 points
A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without
other complications. Which intervention should not be recommended by the nurse
to minimize reflux?
Selecte
a.
d
Place in Trendelenburg position
Answer:
after eating.
a.
Corre Place in Trendelenburg position
ct after eating.
Answe
Small, frequent feedings of formula combined with 1
r:
teaspoon to 1 tablespoon of rice cereal per ounce of
formula have been recommended. Milk-thickening
agents have been shown to decrease the number of
Respon episodes of vomiting and to increase the caloric density
se of the formula. This may benefit infants who are
Feedba underweight as a result of GER disease. Placing the child
ck: in a Trendelenburg position would increase the reflux.
Continuous nasogastric feedings are reserved for infants
with severe reflux and failure to thrive.
• Question 4
2.5 out of 2.5
A child who has just had definitive repair of a high rectal
points
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malformation is to be discharged. Which should the nurse address
in the discharge preparation of this family? (Select all that apply.)
Selected
a.
Answers
Use of diet modification to prevent constipation
:
d.
Perineal and wound care
e.
Reporting any changes in stooling patterns
to practitioner
a.
Use of diet modification to prevent constipation
Correct
d.
Answers
Perineal and wound care
:
e.
Reporting any changes in stooling patterns
to practitioner
Wound care instruction is necessary in a child who is
Respon
se
Feedba
ck:
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