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?

Rationale:

A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.

B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.

C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.

D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.

Rationale:

A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.

B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.

C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.

D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.