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 D

Explanation

A. While monitoring temperature can be important, it is not the primary focus post-crisis unless there are specific concerns.

B. Cold compresses can constrict blood vessels and worsen sickling; heat is usually recommended for pain relief in sickle cell crisis.

C. Restricting outdoor play is not necessary; children with sickle cell anemia should be encouraged to engage in regular activities within their limits.

D. Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.

A. Respiratory B. Airborne C. Bleeding D. Contact

Correct Answer is C

Explanation

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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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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