A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?
Provide a low-sodium diet.
Encourage increased fluid intake.
Obtain urine ketone levels weekly.
Administer pancreatic enzymes with each meal.
The Correct Answer is A
Rationale:
A) Providing a low-sodium diet helps manage fluid retention and edema associated with nephrotic syndrome and corticosteroid therapy.
B) Encouraging increased fluid intake may exacerbate edema and fluid retention.
C) Obtaining urine ketone levels is not specifically indicated for managing nephrotic syndrome or corticosteroid therapy.
D) Administering pancreatic enzymes with each meal is not indicated for nephrotic syndrome or corticosteroid therapy.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.
B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.
C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.
D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
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