Renal Flashcards
A 14-year-old patient is admitted with edema, hematuria, hypertension, oliguria, and fever. Management of this child will most likely include which type of medication? A. An antiviral B. An antihypertensive C. An antimalarial D. A corticosteriod
B. An antihypertensive
An adolescent is admitted for salicylate toxicity. Six hours after ingestion, serum salicylate level is 138 mg/dL. Which mode of renal replacement therapy would be most appropriate?
A. Standard hemodialyis
B. Continuous venovenous hemofiltration
C. Peritoneal dialysis
D. Continous arteriovenous hemofiltration
A. Standard hemodialyis
The nurse caring for a child with peritoneal dialysis understand the most common complication associated with this procedure is A. infection B. cardiac dysrhythmias C. bleeding D. electrolyte abnormalities
A. infection
A toddler is admitted from the operating room after a renal transplant surgery. To prevent renal hypoperfusion during the immediate postoperative period, the PICU nurse anticipates administering A. antihypertensives B. anticoagulation therapy C. an immunosuppressant D. isotonic crystalloids
D. isotonic crystalloids
A child is admitted with abdominal injuries. When the nurse inflates a blood pressure cuff on the child's arm, the patient's hand flexes and the fingers spasm. This finding suggests A. hypokalemia B. hypermagnesemia C. hypocalcemia D. hypernatremia
C. hypocalcemia
A child has a high output enterocutaneous fistula. What ECG changes would indicate hypokalemia? A. Peaked T-waves B. Widened QRS C. Inverted T-waves D. Prolonged QTc
C. Inverted T-waves
The most concerning electrolyte abnormality in a child with Addison's disease who is experiencing adrenal crisis is A. hypophosphatemia B. hypokalemia C. hypomagnesemia D. hyponatremia
D. hyponatremia
In which of the following pedatric patients would an ionized calcium level, rather than a total serum calcium level, be indicated? A child who is
A. on multiple diuretics for heart failure
B. undergoing massive transfusion
C. heparinized post cardiac surgery
D. on a continuous 3% saline infusion
B. undergoing massive transfusion
