An 8-year-old who is receiving treatment for nephrotic syndrome should have a plan of care for the reduction of the risk for which complication?

Infection.

Hypertension.

Weight loss.

Hyperkalemia.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Children with nephrotic syndrome are at an increased risk of infection due to loss of immunoglobulins and other immune-related proteins in the urine, along with the use of immunosuppressive medications. The proteinuria associated with nephrotic syndrome leads to hypoalbuminemia and decreased immunity, making the child susceptible to infections, particularly bacterial peritonitis. Preventive measures include proper hand hygiene, maintaining a clean environment, and timely administration of prescribed antibiotics.

Choice B rationale:

Hypertension is not a primary complication of nephrotic syndrome in children. While they may have fluid retention and edema, resulting in increased blood pressure, infection is a more significant concern.

Choice C rationale:

Weight loss is not a typical complication of nephrotic syndrome but rather the opposite. Children with nephrotic syndrome often experience weight gain due to fluid retention and edema.

Choice D rationale:

Hyperkalemia is a possible electrolyte imbalance in nephrotic syndrome, but it is not a primary concern for children with this condition. The loss of protein in the urine can lead to hypoalbuminemia and subsequent edema, but hyperkalemia is not a common initial complication.

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Correct Answer is B

Explanation

Choice A rationale:

Replacing the dressing if bleeding is noted is appropriate as it helps maintain a clean and sterile site post-catheterization.

Choice B rationale:

Positioning the child in a flat-lying position immediately after cardiac catheterization is incorrect. The child should be placed in a specific position, such as semi-Fowler's, to avoid complications and promote comfort.

Choice C rationale:

Monitoring the pulses distal to the site is essential to assess circulation and potential complications after the procedure.

Choice D rationale:

Checking the vital signs every 15 minutes is appropriate post-catheterization to detect any hemodynamic changes or complications.

A. Monitoring the stool consistency. B. Checking the pupillary reflex response. C. Listening to breath sounds. D. Auscultating the apical pulse rate.

Correct Answer is A

Explanation

Choice A rationale:

Monitoring the stool consistency is a crucial nursing action to assess the effectiveness of pancreatic enzyme replacement therapy. Patients with pancreatic insufficiency, such as those with cystic fibrosis, may have difficulty digesting fats properly. Improved stool consistency, specifically a reduction in greasy and foul-smelling stools, indicates that the pancreatic enzymes are aiding in fat digestion.

Choice B rationale:

Pupillary reflex response assessment is unrelated to pancreatic enzyme replacement therapy. It is more commonly performed to assess neurological status or the effects of medications affecting the autonomic nervous system.

Choice C rationale:

Listening to breath sounds is important for assessing respiratory status, but it does not directly reflect the effectiveness of pancreatic enzyme replacement therapy.

Choice D rationale:

Auscultating the apical pulse rate is a general assessment of cardiovascular function and does not provide information about the effectiveness of pancreatic enzyme replacement therapy.

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An 8-year-old who is receiving treatment for nephrotic syndrome should have a plan of care for the reduction of the risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse takes all of these actions when caring for a 13-year-old who just returned from a cardiac catheterization. Which action is incorrect and requires further discussion?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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