RN HESI Paediatrics Exam 2
RN HESI Paediatrics Exam 2 ( 53 Questions)
History and Physical
The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized? Select all that apply.
A. An electrocardiogram with a tall T wave and widened QRS complex may indicate electrolyte imbalances or cardiac issues, which are not indicative of stabilization.
No explanation
C. Basilar crackles can be a sign of pulmonary or cardiac issues and are not indicative of stabilization.
D. A urine output of 20 mL in the last hour may suggest reduced kidney function or hydration status and is not indicative of stabilization.
E. A respiratory rate of 26 breaths/minute may indicate respiratory distress and is not indicative of stabilization.
No explanation
No explanation
A. An electrocardiogram with a tall T wave and widened QRS complex may indicate electrolyte imbalances or cardiac issues, which are not indicative of stabilization.
C. Basilar crackles can be a sign of pulmonary or cardiac issues and are not indicative of stabilization.
D. A urine output of 20 mL in the last hour may suggest reduced kidney function or hydration status and is not indicative of stabilization.
E. A respiratory rate of 26 breaths/minute may indicate respiratory distress and is not indicative of stabilization.
The assessment findings that suggest stabilization include:
A blood pressure within the normal range (126/76 mm Hg).
A heart rate within the normal range (72 beats/minute).
Oxygen saturation of 98% on room air, indicating adequate oxygenation.
A normal body temperature (98.9°F or 37.1°C orally).
These vital signs and clinical parameters are within normal ranges, suggesting that the client's condition is stable at this time.