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 D
Explanation
A. Toddlers often go through phases of decreased appetite and picky eating, so expecting an increased appetite may not be realistic.
B. While vitamins may be useful in some cases, they should not be used to replace a balanced diet. Picky eating should be addressed by offering a variety of foods.
C. A typical toddler's calorie intake is much lower than 3,000 calories; the average is closer to 1,000-1,400 calories per day.
D. The quality of food is more important than the quantity, as toddlers need nutrient-dense foods to support their growth and development.
Correct Answer is B
Explanation
A. Elevating the head of the bed may be useful after airway management but is not the priority in anaphylaxis.
B. Administering IM epinephrine is the priority action in anaphylaxis, as it works rapidly to reverse the symptoms by constricting blood vessels, relaxing smooth muscles, and improving breathing.
C. Determining the allergen is important for future prevention, but the immediate priority is treating the reaction.
D. While establishing IV access is important for fluid resuscitation, it is not the priority over administering epinephrine in anaphylaxis.
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