The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause?
a. Physiologic manifestations of renal disease
b. The fact that adolescents have few coping mechanisms
c. Neurologic manifestations that occur with dialysis
d. Resentment of the control and enforced dependence imposed by dialysis
ANS: D
Older children and adolescents need to feel in control. Dialysis forces the adolescent into a dependent relationship, which results in these behaviors. Being angry, hostile, or depressed are functions of the age of the child, not neurologic or physiologic manifestations of the dialysis
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1. Hemoglobin. 2. Red blood cell count. 3. Absolute neutrophil count (ANC). 4. Platelets.
Healthy People 2020 is a
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