Renal System Usually Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to renal system usually and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves renal system usually. A strong answer should include explanation, application, and examples.
Original Question
The renal system usually reaches functional maturity at around ______ age. Question 1 options: 2 months 4 months 12 months 24 months 7 years 12 years Question 2 (1 point) The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate? Question 2 options: pH Osmolality Creatinine Protein level Specific gravity Question 3 (1 point) Why does a child with nephrotic syndrome develop hypoalbuminemia? Question 3 options: To little protein in diet Increased glomerular basement membrane permeability Secondary Liver inflammation Antigen- antibody complex Fluid volume overload dilutional effect Question 4 (3 points) What nursing interventions are important to implement for a child who presents with edema due to nephrotic syndrome ? Select all that apply Question 4 options: Monitor urine dipstick for protein twice a day Vital signs every four hours to assess for hypovolumemia Administer antibiotic Measure abdominal girth daily Assess for elevated lipids Daily weight Administer aspirin for inflamation Fluid volume restriction in acute phase Administer steroid Limit salt acutely but need to supplement sodium in the diet during hot weather or with heavy exertion activity. Question 5 (1 point) Elevated blood pressure in a child with nephrotic syndrome can be an indicator of: Question 5 options: Fluid volume overload Progression to chronic renal failure Pain associated with condition Thrombosis Side effect of prednisone Question 6 (1 point) An immune process that results in injury to the kidney filter sac, often occurring after an upper respiratory infection is known as: Question 6 options: Acute glomerulonephritis Acute Protienuria Hemolytic Uremic Syndrome Acute renal failure Nephrotic syndrome Question 7 (1 point) Question 7 options: The presence of hematuria during an episode of acute glomerulonephritis is notable by what color urine? Question 8 (1 point) Hemolytic-uremic syndrome is defined by a few classic features. Select all that apply. Question 8 options: Hemolytic anemia Acute thrombocytosis Thrombocytopenia Acute renal failure Massive edema Ascites Frothy amber urine Question 9 (3 points) What nursing interventions are necessary for a child with Acute glomerulonephritis? Select all that apply Question 9 options: Vital signs every two hours to assess for hypovolumemia Administer aspirin for inflammation Daily weight Strict fluid volume restriction in acute phase Measure abdominal girth daily Administer steroid Assess for elevated lipids Monitor urine dipstick for protein twice a day Administer antibiotic Question 10 (1 point) When assessing a child with a possible Wilm’s tumor it is very important that the nurse: your answer in the box below. Question 10 options: Question 11 (1 point) Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome? Question 11 options: Reduce blood pressure. Reduce excretion of urinary albumin. Increase ability of tissues to retain fluid. Increase excretion of urinary protein. Prevention of infection Minimization of complications associated with therapy and dysfunction Early detection and intervention of recurrences. Question 12 (1 point) A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this? Question 12 options: Ensure compliance with prophylactic antibiotic therapy. Prevent infection. Detect evidence of edema due to steroid effects. Stimulate appetite. Question 13 (1 point) The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. This is most likely the result of: Question 13 options: poor appetite. increased potassium and protein, decreased carbohydrate intake. reduction of edema. restriction to bed rest. Question 14 (1 point) The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching? Question 14 options: “You will need to decrease the number of calories in your child’s diet.” “Your child’s diet will require an increased amount of protein.” “You will need to avoid adding salt to your child’s food.” “Your child’s diet will consist of low-fat, low-carbohydrate foods.” Question 15 (1 point) Which is the most appropriate nursing diagnosis for the child with acute glomerulonephritis? Question 15 options: Risk for Injury related to long term corticosteroid treatment Fluid Volume Deficit related to excessive losses Fluid Volume Excess related to decreased plasma filtration Fluid Volume Excess related to fluid accumulation in tissues and third spaces Risk for Injury related to genetic malignant process and treatment Question 16 (1 point) One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term? Question 16 options: Inability of body to tolerate cold temperatures Overexcretion of blood urea nitrogen Deposits of urea crystals on skin Deposits of urea crystals in urine
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