A nurse is creating a plan for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema, which of the following interventions should the nurse include in the plan?
Place the child in an airborne infection isolation room.
Encourage an increased fluid intake for the toddler.
Increase the toddler's dietary sodium intake.
Administer corticosteroids to the toddler.
The Correct Answer is D
A. There is no indication that the child has a contagious infection, so airborne isolation is unnecessary.
B. Increasing fluid intake can worsen edema in nephrotic syndrome, as it may contribute to fluid retention.
C. In nephrotic syndrome, reducing dietary sodium intake is typically recommended to help manage edema, not increase it.
D. Corticosteroids are the standard treatment for minimal change nephrotic syndrome to reduce inflammation and protein loss in the urine.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The child should sit upright with the head tilted forward to prevent blood from flowing down the throat, which could cause choking or aspiration. Applying pressure on the nostrils for 10 minutes is an effective method for stopping most nosebleeds.
B. While ice may help constrict blood vessels, it is not the primary intervention for a nosebleed. Holding pressure is more effective.
C. Tilting the head back can cause blood to flow into the throat and potentially lead to choking or vomiting.
D. Lying the child supine increases the risk of blood flowing into the throat and airway, making it unsafe.
Correct Answer is A
Explanation
A. Positive reinforcement, such as giving stickers for sitting on the potty, is an effective way to encourage toilet training in toddlers, especially those with cognitive impairments.
B. Playing a favorite song can help with the process but is not as effective as a structured reinforcement like rewarding the child for participating in the activity.
C. Teaching multiple steps at once can be overwhelming for a toddler with cognitive impairments. It is better to break the task into simple, manageable steps.
D. Scolding the child for accidents can cause shame and hinder progress. Positive reinforcement is more effective than punishment.
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