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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Related Questions
Correct Answer is A
Explanation
A. Forceful vomiting in a child with a concussion could indicate increased intracranial pressure (ICP), which is a medical emergency. Vomiting is a common symptom of ICP, and prompt assessment is necessary to determine the severity of the concussion and prevent further complications.
B. Pain following halo traction is expected, and a pain score of 6 is moderate. The pain can be managed with appropriate interventions, and it does not indicate an immediate life-threatening situation.
C. Brown-colored urine in acute glomerulonephritis is concerning for hematuria, but it typically develops over several days and is not an acute emergency.
D. A headache in a patient with infective endocarditis could indicate a potential complication such as embolism or increased intracranial pressure, but it is not as immediately life-threatening as the signs of a concussion.
Correct Answer is B
Explanation
A. A pacifier should not be offered after cleft lip surgery, as it can put pressure on the surgical site and affect healing.
B. Rocking the infant can be a soothing and comforting action to help the infant recover from surgery. It provides emotional comfort and promotes bonding with the parents.
C. Ibuprofen is generally not recommended for infants under 6 months of age unless prescribed by the provider. Appropriate pain management should be used based on the infant's age and condition.
D. Positioning the infant on her abdomen is not appropriate after cleft lip surgery, as this could place pressure on the surgical area. The infant should be positioned on her back or side to avoid stress on the repair site.
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