A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Apply lotion to the skin beneath the straps twice daily.

Position the diaper over the straps with each change.

Lengthen the harness straps weekly.

Massage the skin under the straps daily.

Answer and Explanation

The Correct Answer is B

A.   Lotions, powders, or ointments should be avoided under the harness as they can irritate the skin.
B.   This helps protect the skin and keeps the harness clean.
C.   Only a healthcare provider should adjust the harness straps. Parents should not attempt to do this.
D.   Massage can irritate the skin and should be avoided.

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Correct Answer is B

Explanation

A. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.

A. Educate the child about proper perineal hygiene. B. Advise child's guardian about the use of sunscreen. C. Administer salicylic acid for pain and fever. D. Administer sulfamethoxazole and trimethoprim. E. Ensure the child receives a maximum of 1,200 mL/day of fluid.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A. Educate the child about proper perineal hygiene. Anticipated. This is essential to prevent the recurrence of UTIs.
B. Advise child's guardian about the use of sunscreen. Anticipated. While not directly related to the UTI, protecting the child's skin from sun damage is important overall health.
C. Administer salicylic acid for pain and fever. Contraindicated. Salicylic acid is contraindicated in children due to the risk of Reye's syndrome.
D. Administer sulfamethoxazole and trimethoprim. Anticipated. This is the prescribed medication for the UTI and should be administered as ordered.
E. Ensure the child receives a maximum of 1,200 mL/day of fluid. Anticipated. Adequate hydration is crucial for flushing bacteria from the urinary tract. Restricting fluids is counterproductive.

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A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) Exhibits The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

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