A child with a known diagnosis of acute renal failure is assessed. The nurse knows that the most immediate threat to this child's life is:
1. Hypocalcaemia.
2. Hyperkalemia.
3. Hyponatremia.
4. Hyperglycemia.
2
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1. A low level of calcium does not cause a high threat of acute renal failure.
2. The buildup of potassium causes cardiac arrhythmias and difficulty breathing.
3. High levels of sodium cause threats to the body in a patient with acute renal failure, not low levels.
4. Hyperglycemia can affect kidney function, but is not as much of an immediate threat.
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A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over. The nurse knows that the reason for this is:
a. A demyelinating process must be occurring with her infant. b. Myelin is needed to conduct the impulses, and the neurons of a newborn are not yet myelinated. c. The cerebral cortex is not fully developed; therefore, control over motor function gradually occurs. d. The spinal cord is controlling the movement because the cerebellum is not yet fully developed.
The postpartum nurse is performing a home care visit to a first-time mother on her third day after delivery. She reports that her nipples are becoming sore. What statement indicates that further teaching is needed?
1. "I should try to keep the baby awake, and not let him stay latched onto the breast when he is asleep." 2. "Watching how much areola is visible will help me see if he has a good mouthful of breast or not." 3. "My nipples will heal if I switch to bottle-feeding for about three days while I pump my breasts." 4. "Rotating breastfeeding positions will allow the sore areas of my nipples to have less friction."
To prevent accidental poisoning of a child, parents are instructed by the home health nurse to place medicines:
a. in a dresser drawer. b. in the medicine cabinet. c. in a locked cupboard. d. on a high shelf.
A nurse working on the labor and delivery unit will most likely see which of the following used during the birthing process? Select all that apply
A) Epidural block B) Brachial plexus block C) Transsacral block D) Local infiltration anesthesia E) General anesthesia