A nurse is caring for a 5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings suggests that the management has been effective?
Temperature 37.2° C (99° F)
Urine output 256 mL over 8 hr
No report of pain with voiding
Odorless urine
The Correct Answer is B
A. A temperature of 37.2°C (99°F) is slightly elevated but not a major concern post-surgery.
B. Urine output 256 mL over 8 hr: In a child with nephrotic syndrome, adequate urine output is crucial. For a child weighing 12 kg, an output of around 30 mL/hr (or 240 mL over 8 hours) is considered normal. 256 mL over 8 hr indicates adequate urine production
C. No pain with voiding is a positive sign but doesn't necessarily indicate overall effectiveness of treatment for nephrotic syndrome.
D. Odourless urine is a normal finding and not necessarily an indicator of treatment success.
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Related Questions
Correct Answer is D
Explanation
A. "Your child might need to have their tonsils and adenoids removed." Removal of tonsils and adenoids is not typically related to cystic fibrosis management. This statement is not accurate in the context of cystic fibrosis home care.
B. "Your child will take isoniazid for 9 months." Isoniazid is used for the treatment or prevention of tuberculosis, not cystic fibrosis. This statement is not relevant to cystic fibrosis.
C. "Your child will have chest x-rays periodically to monitor for disease reactivation." Periodic chest x-rays are more commonly used to monitor lung infections and complications in cystic fibrosis patients, not specifically for disease reactivation.
D. "Your child should take pancreatic enzymes with meals and snacks." Children with cystic fibrosis often have pancreatic insufficiency, requiring pancreatic enzyme supplements with meals and snacks to aid digestion and nutrient absorption.
Correct Answer is A
Explanation
A. Remain uninvolved until the child awakens. This can be distressing for both the child and the parent. Parents should provide comfort and ensure the child is safe without trying to fully awaken them. Staying uninvolved until the child awakens ensures they do not reinforce the behavior inadvertently
B. Take the child to the parent's bed to resume sleep. This can create a dependency on sleeping with the parent and may disrupt the child's ability to self-soothe and sleep independently.
C. Schedule professional counselling for the child. While severe cases may benefit from professional help, many children experience sleep terrors that do not require counselling. It’s not the first-line approach.
D. Allow the child to fall asleep with the television on. This is not advisable as it can create unhealthy sleep habits and the light from the television can disrupt sleep cycles.
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