A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.

Which of the following interventions should the nurse include in the plan of care?

Weigh the child once per day.

Position the child supine at bed time.

Limit calorie intake to 45 cal/kg/day.

Increase fluid intake to 2 L/day.

Answer and Explanation

The Correct Answer is A

A.   Daily weight monitoring is essential in managing nephrotic syndrome to assess for fluid retention and response to treatment.
B.   Positioning the child supine at bedtime is not specific to the management of nephrotic syndrome.
C.   Calorie intake may need to be increased rather than limited in nephrotic syndrome to compensate for protein loss and meet increased energy needs.
D.   Fluid intake may need to be restricted rather than increased, depending on the child's fluid status and response to treatment.

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Correct Answer is C

Explanation

A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or suitability for the infant's age.
B. Soy milk may not be appropriate for a 10-month-old infant and may not adequately address nutritional needs.
C. Correct. Commercially prepared formula is recommended for infants who are not breastfeeding and provides essential nutrients necessary for growth and development.
D. Reinitiating breastfeeding may not be feasible or appropriate in this situation if the parent has chosen to feed the infant goat milk.

A. "I will ensure that my child is tested for tuberculosis every year." B. "The risk of transmission decreases once my child is on zidovudine for 2 weeks." C. "My child will need to double his medications for the next 6 months." D. "My child will need to repeat his childhood immunizations once he is in remission."

Correct Answer is A

Explanation

A. This statement demonstrates an understanding of the increased risk of tuberculosis in individuals with HIV and the importance of regular screening. Tuberculosis is a common opportunistic infection in individuals with HIV, and regular testing is essential for early detection and treatment.
B. While starting antiretroviral therapy such as zidovudine is important for managing HIV, it does not immediately decrease the risk of transmission. It takes time for viral load suppression to occur and for the risk of transmission to decrease significantly.
C. Doubling medications without healthcare provider guidance could lead to incorrect dosing and potential harm. HIV medications should be taken exactly as prescribed by the healthcare provider.

D. Childhood immunizations are essential for preventing other infectious diseases but may need to be adjusted based on the child's immune status and specific recommendations from the healthcare provider. The statement does not address the immediate concern of managing HIV.

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A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

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A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.

Which of the following interventions should the nurse include in the plan of care?