Author Question: The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of ... (Read 49 times)

sammy · **on:** Jun 28, 2018

The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching?

a. These injections will help with the hypertension.
b. We're glad the injections only need to be given once a month.
c. The red blood cell count should begin to improve with these injections.
d. Urine output should begin to improve with these injections.

Question 2

The nurse is conducting teaching for an adolescent being discharged to home after a renal transplantation. The adolescent needs further teaching if which statement is made?

a. I will report any fever to my primary health care provider.
b. I am glad I only have to take the immunosuppressant medication for two weeks.
c. I will observe my incision for any redness or swelling.
d. I won't miss doing kidney dialysis every week.

bfulkerson77 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Anemia in children with CRF is related to decreased production of erythropoietin. Recombinant human erythropoietin (rHuEPO) is being offered to these children as thrice-weekly or weekly subcutaneous injections and is replacing the need for frequent blood transfusions. The parents understand the teaching if they say that the red blood cell count will begin to improve with these injections.

Answer to Question 2

ANS: B
The immunosuppressant medications are taken indefinitely after a renal transplantation, so they should not be discontinued after 2 weeks. Reporting a fever and observing an incision for redness and swelling are accurate statements. The adolescent is correct in indicating dialysis will not need to be done after the transplantation.