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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Auscultate the abdomen for at least 1 min if bowel sounds are absent. This is an appropriate action. Absence of bowel sounds can indicate a serious condition, so the nurse should auscultate for at least 1 minute to confirm their absence. However, it is generally recommended to listen for up to 5 minutes before concluding that bowel sounds are absent.
B. Use the bell stethoscope to auscultate breath sounds. The diaphragm of the stethoscope, not the bell, is typically used to auscultate breath sounds because it is better at picking up higher-pitched sounds like those of the lungs.
C. Check visual acuity by using the tumbling E eyechart. The tumbling E chart is appropriate for pre-schoolers who may not know the alphabet. This chart helps assess visual acuity in young children by having them identify the direction of the E's legs.
D. Place hand on the pre-schooler’s abdomen to determine respiratory rate. Placing a hand on the abdomen can help in counting the respiratory rate in infants and very young children who are diaphragmatic breathers, but for pre-schoolers, it is typically easier and more accurate to count respirations by observing the chest rise.
Correct Answer is D
Explanation
A. "Your child will need to follow a low-protein diet temporarily." Celiac disease requires a gluten-free diet, not a low-protein diet. Protein intake is not typically restricted in celiac disease unless there are specific renal issues.
B. "You should place your child on a high-fiber diet when she has an exacerbation." High-fiber diets are not specific to managing celiac disease exacerbations. The focus should be on a gluten-free diet to avoid triggering symptoms.
C. "You should replace white flour with wheat flour when preparing meals for your child." This advice is incorrect as both white flour and wheat flour contain gluten. The child should avoid all gluten-containing products, including wheat flour.
D. "Your child will be on a gluten-free diet for the rest of her life." Correct. Celiac disease is a lifelong condition that requires a strict gluten-free diet to prevent symptoms and long-term complications.
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