A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Restrict the child's potassium intake.
Provide quiet activities for the child.
Weigh the child once a week.
Administer acetaminophen to the child daily.
The Correct Answer is B
A. Restrict the child's potassium intake. Potassium restriction is not typically required unless hyperkalemia is present.
B. Provide quiet activities for the child. Edema can cause fatigue, and quiet activities help conserve energy and reduce strain.
C. Weigh the child once a week. Daily weight monitoring is critical to track fluid retention or loss.
D. Administer acetaminophen to the child daily. Acetaminophen is not routinely required unless there is a specific indication, such as fever or pain.
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Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
Explanation
Feed infant in a supine position: Contraindicated
- Supine feeding increases the risk of aspiration and exacerbates reflux.
Offer smaller, more frequent feedings: Appropriate
- Smaller, frequent feedings reduce gastric distension and reflux episodes.
Thicken formula feedings with rice cereal: Appropriate
- Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.
Place infant in a side-lying position for sleep: Contraindicated
- The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
The infant is at risk for developing aspiration pneumonia and esophageal strictures.
Rationale:
- Aspiration pneumonia: GER can cause stomach contents to enter the respiratory tract, leading to aspiration pneumonia.
- Esophageal strictures: Chronic irritation from stomach acid can result in scarring and narrowing of the esophagus.
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