A 7-year-old is diagnosed with nephrotic syndrome. Which sign would support this diagnosis?

a. Constipation
b. Vesicular skin rash
c. Frothy urine
d. Jaundice


ANS: C
In the child with nephrotic syndrome, the parents may notice diminished, frothy, or foamy urine output. Nephrotic syndrome is not associated with constipation, a vesicular skin rash, or jaundice.

Nursing

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The sediment in acute renal failure and acute tubular necrosis is often

A) normal. B) a few casts. C) muddy-brown granular casts. D) clear, crystalline.

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A woman (Tanya) is being prepared for an elective cesarean birth. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position

A. Administer naloxone (Narcan) per protocol. B. Discontinue the patient's intravenous infusion. C. Have ephedrine ready for administration. D. Place a wedge under the patient's left hip.

Nursing

Nursing practice has been said to have the potential to be increasingly evidence-based in the next ten years. What are the impediments to enacting EBP? (Select all that apply.)

a. A misunderstanding of what EBP is has resulted in mandates and policies; bedside nurses sense that their expertise is being overridden. b. Only about one-seventh of published nursing research is experimental or quasi-experimental. c. Systematic reviews and meta-analyses in nursing are limited. d. Most hospitals do not have computer access to practice evidence. e. Population-based knowledge may or may not translate to the care of individual patients.

Nursing

A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for surgical placement of a permanent pacemaker. The client asks the nurse how this devise will help him. How should the nurse explain the action of a synchronous pacemaker?

A. an impulse is fired every second to maintain a heart rate of 60 beats per minute B. ectopic stimulus in the atria is suppressed by the device of usurping depolarization C. ventricular irritability is prevented by the constant rate setting of a pacemaker D. an electrical stimulus is discharged when no ventricular response is sensed

Nursing