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. Tying restraints to the side rails poses a risk of injury to the child and is not a recommended practice.
B. Renewing the prescription for restraints every 48 hours is important, but it does not directly address the proper application of restraints.
C. Securing restraints with a quick-release knot allows for quick removal in case of emergency and is the correct method for applying restraints.
D. Assessing the child every 4 hours while in restraints is important, but it does not address the proper application of restraints.

A. Rotavirus B. Varicella C. Haemophilus influenzae type b D. Hepatitis B

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.

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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?