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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Constipation is not typically associated with sickle cell crisis. While it can occur due to medications or dehydration, it is not a primary symptom of a crisis.

B. Bradycardia is not a typical manifestation of sickle cell crisis. The patient might experience tachycardia due to pain or dehydration.

C. Pain is the hallmark symptom of a sickle cell crisis. The sickle-shaped red blood cells obstruct blood flow, leading to ischemia and severe pain, often in the joints or abdomen.

D. Fever can occur if there is an infection, but pain is the most characteristic finding in a sickle cell crisis.

A. CRIES pain assessment scale B. FACES Rain rating scale C. Noncommunicating children's pain checklist D. Numeric pain rating scale

Correct Answer is B

Explanation

A. The CRIES scale is used for neonates and infants, not toddlers.

B. The FACES pain rating scale is appropriate for children aged 3 years and older, allowing them to express their pain visually through faces showing different expressions.

C. The Noncommunicating children's pain checklist is used for older children with communication impairments.

D. The Numeric pain rating scale is more suitable for older children and adults who can understand and use numbers to rate pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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