A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

Improvement in neurologic function

Weight gain

Absence of protein in urine sampling

Negative gram stain via urine culture

Answer and Explanation

The Correct Answer is C

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

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Correct Answer is D

Explanation

A. Applying topical diphenhydramine may help with local itching but is not the priority in a child with a known allergy to insect stings.

B. A cool pack can reduce swelling but is not the priority action if an allergic reaction is suspected.

C. Positioning the child with legs elevated is appropriate if there are signs of shock but does not address the immediate risk of airway compromise.

D. Assessing the client's airway and breathing rate is the priority because a child with a known allergy to insect stings is at risk for anaphylaxis, which can cause airway obstruction and respiratory distress. Early recognition and intervention are critical.

A. Change the routine of the preschooler often to stimulate initiative. B. Reward the child for initiative in order to build self-esteem. C. As a parent, decide how and with whom the child will play D. Do not set limits on the preschooler's behavior as this results in low self-esteem.

Correct Answer is B

Explanation

A. Changing routines frequently might confuse the child rather than stimulate initiative.

B. Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.

C. Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.

D. Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

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A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

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Naxlex Comprehensive Predictor Exams

A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

Correct Answer is D

Explanation

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Correct Answer is B

Explanation

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