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.
Increase fluid intake to 2 L/day.
The Correct Answer is A
A. The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome.
B. Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress.
C. Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. The nurse should provide a high-calorie, high-protein, low-sodium diet to meet the child's nutritional needs and prevent muscle wasting.
D. Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload. The nurse should restrict fluid intake according to the provider's orders and based on the child's weight and urine output.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
B. Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape.
C. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. The nurse should recommend avoiding outdoor activities during peak sun hours and applying sunscreen and protective clothing when outdoors.
D. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves. The nurse should instruct parents to turn pot handles toward the back of the stove or use rear burners when possible.
Correct Answer is C
Explanation
A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
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