What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)?
a. Children with ESRD usually adapt well to minor inconveniences of treatment.
b. Children with ESRD require extensive support until they outgrow the condition.
c. Multiple stresses are placed on children with ESRD and their families until the illness is cured.
d. Multiple stresses are placed on children with ESRD and their families because children's lives are maintained by drugs and artificial means.
ANS: D
Stressors on the family are often overwhelming because of the progressive deterioration. The child progresses from renal insufficiency to uremia to dialysis and transplantation, each of which requires intensive therapy and supportive care. The treatment of ESRD is intense and requires multiple examinations, dietary restrictions, and medications. Adherence to the regimen is often difficult for children and families because of the progressive nature of the renal failure. ESRD has an unrelenting course that has no known cure. Children do not outgrow the renal failure.
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1. Input 2. Low 3. Mid 4. Outlet
It is vital to communicate changes in patient condition to the physician. When using the SBAR process, the nurse knows that what should be included when communicating patient condition? Select all that apply
a. Problem b. Current medications c. Assessment d. Diagnosis e. Documentation f. Lab data
Which patient(s) require(s) special considerations for medication administration? (Select all that apply.)
a. A 29-year-old pregnant woman b. A 2-month-old baby c. An 18-year-old college student d. A 45-year-old farmer e. An 82-year-old retired nurse