In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Weighing on the same scale each day

Testing the urine for glucose levels regularly

Increasing fluid intake by 50 ml per hour

Ambulating 3 to 4 times a day

Complete the course of prescribed antibiotics

Answer and Explanation

The Correct Answer is A

A. Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

B. Testing urine for glucose levels is not a routine part of nephrotic syndrome management, as glucose levels are not typically affected by this condition.

C. Increasing fluid intake is not advisable in nephrotic syndrome if there is significant edema; fluid management must be tailored to the child's condition.

D. While ambulation is beneficial, it is not as critical as daily weight monitoring in managing nephrotic syndrome.

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Correct Answer is ["B","E","F"]

Explanation

A. Cold compresses may not be appropriate in this case. In sickle cell crises, warmth is typically encouraged to promote circulation and reduce pain, whereas cold can constrict blood vessels and potentially worsen ischemia.

B. Bedrest is appropriate for this client to minimize energy expenditure and allow the body to focus on healing. Pain management is also a priority, and limiting activity can help manage pain levels.

C. While oxygen can be helpful in managing hypoxia, the client’s oxygen saturation is currently 96% on room air, indicating adequate oxygenation. Routine administration of oxygen is not indicated in this scenario.

D. In sickle cell disease, hydration is important to reduce blood viscosity and prevent crises. Therefore, the nurse should encourage adequate fluid intake unless contraindicated.

E. The client has a significantly low hemoglobin level (5 g/dL), which may necessitate a blood transfusion to improve oxygen-carrying capacity and treat anemia. Consent should be obtained as part of the preparation for this intervention.

F. Administering IV fluids is essential for rehydration and improving circulation, which can help alleviate pain and prevent further sickling of cells.

G. While passive range-of-motion exercises can be beneficial, they are generally not recommended during acute pain episodes as they may exacerbate discomfort and pain. The focus should be on pain management and rest.

A. "I will wash my hands frequently.” B. "Being out in cold weather can cause me to have a sickle cell crisis" C. "I will restrict my fluids it during illness" D. "I will need to carry a water bottle with me for after school sports." E. "I have to be very careful to take my medications as directed."

Correct Answer is ["A","B","D","E"]

Explanation

A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.

B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.

C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.

D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.

E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.

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In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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