As part of nursing care for the child receiving chemotherapy, the pediatric nurse tests the child's urine for occult blood, pH, and protein. This nursing intervention is a preventative strategy for:
A) dehydration.
B) hemorrhagic cystitis.
C) urinary tract infection.
D) gastrointestinal infection.
B
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A mother brings her daughter to the clinic after noticing the child's new swimsuit fits baggily on one side of her bottom and the child's right thigh looks quite odd compared to the other one
Which assessment question would provide the nurse the most important information? A. "Do her joints dislocate easily?" B. "Does she fatigue easily?" C. "Has your child been limping?" D. "When did you see her in a swimsuit last?"
A nurse is caring for a client with acute renal failure who has had a femoral vein cannulation for hemodialysis access. For what complication of this procedure should the nurse remain alert?
A. Ascites B. Hematoma C. Skin necrosis D. Renal artery occlusion
The client has been abusing alcohol for several years and tells the nurse, "I used to drink a pint of whiskey every day. Now I get sick and pass out after just two drinks." What does the nurse correctly recognize about this client?
1. The client has brain damage from the alcohol and cannot remember how much he consumes. 2. The client is in denial and most likely is misrepresenting the amount of alcohol he consumes. 3. The client could have liver damage, resulting in an inability to metabolize large amounts of alcohol. 4. The client's symptoms are related to hyperglycemia; he might have pancreatic damage.
Which of the these assessment and monitoring data are abnormal for a 1-hour-old infant?
Select all that apply. a. Fontanelles soft and flat b. Pupils 2 cm, brisk reaction c. No reaction when pulse oximeter is placed on right foot d. Sleepy, squirms and fusses during pupil check e. Breath sounds clear f. Pulses 2+ and capillary refill time less than 2 to 3 seconds g. Bilateral clubfeet h. Sac in sacral region covered with sterile gauze that is moistened with saline i. Acrocyanosis