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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rotavirus vaccination is typically given in infancy, usually starting at 2 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule.
B. Varicella (chickenpox) vaccine is routinely administered around 12-15 months of age with a booster dose typically given between 4-6 years of age. Therefore, a 5- year-old child would receive the booster dose if not already administered.
C. Haemophilus influenzae type b (Hib) vaccine is usually completed by 15 months of age, so it would not be administered to a 5-year-old child who is already up-to- date with the immunization schedule.
D. Hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months of age, so a 5-year-old child who is up-to-date with immunizations would have already received the series.
Correct Answer is B
Explanation
A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful.
B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement.
C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival.
D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.