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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) Foods high in fiber are generally healthy and do not need to be avoided with lisinopril.
B) Lisinopril can increase potassium levels in the blood, so clients should avoid high- potassium foods to prevent hyperkalemia.
C) Foods high in vitamin K are typically associated with blood clotting and are not contraindicated with lisinopril.
D) Dairy products are not specifically contraindicated with lisinopril, although they should be consumed in moderation as part of a balanced diet.
Correct Answer is C
Explanation
Rationale:
A) Involvement of a grandparent in assisting with activities of daily living (ADLs) indicates family support.
B) The child engaging in play with siblings suggests social interaction and family involvement.
C) A withdrawn parent may indicate emotional distress or difficulty coping with the child's condition, necessitating support and resources.
D) The step-parent's involvement in preparing the child for school transition indicates family support and engagement in the child's development.
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