A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Odorless urine
No report of pain with voiding
Urine output 256 mL over 8 hr
Temperature 37.2° C (99° F)
The Correct Answer is C
Rationale:
A. Odorless urine may be an indicator of improved hydration status but does not directly reflect the effectiveness of treatment for nephrotic syndrome.
B. Absence of pain with voiding may indicate resolution of urinary tract symptoms but is not a specific indicator of treatment effectiveness for nephrotic syndrome.
C. Increased urine output indicates improved renal function, which is a primary goal of treatment for nephrotic syndrome, making this the most appropriate indicator of treatment effectiveness.
D. Temperature within normal range is not a direct indicator of treatment effectiveness for nephrotic syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Storing opened vials of insulin for up to 60 days is incorrect. Insulin should be discarded after the manufacturer's recommended expiration date or within 28 days after opening, whichever comes first.
B. Physical therapy is not typically indicated as part of routine care for adolescents with type 1 diabetes mellitus. However, regular physical activity is encouraged for overall health and blood sugar management.
C. Consulting with a nutritionist is important for adolescents with type 1 diabetes mellitus to receive individualized meal planning guidance, carbohydrate counting education, and dietary recommendations to help manage blood sugar levels.
D. Monitoring capillary blood glucose daily is essential for adolescents with type 1 diabetes mellitus, but it is not the only recommendation. Comprehensive diabetes management includes multiple aspects such as insulin therapy, dietary modifications, physical activity, and regular monitoring of blood glucose levels.
Correct Answer is A
Explanation
Rationale:
A. This is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding.
B. This should only be done after confirming proper tube placement.
C. Flushing the tube is necessary, but it should occur after confirming placement.
D. This should occur after confirming proper tube placement.
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