In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Testing the urine for glucose levels regularly

Weighing on the same scale each day

Increasing oral fluid intake

Following a low-potassium diet while on furosemide therapy

Answer and Explanation

The Correct Answer is B

A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.

B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.

C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.

D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.

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Correct Answer is A

Explanation

A. Projectile vomiting is a classic sign of pyloric stenosis, where the thickened pylorus muscle obstructs the passage of food from the stomach to the small intestine, causing forceful vomiting.

B. Large amounts of bilious emesis would suggest an obstruction beyond the pylorus, which is not characteristic of pyloric stenosis.

C. Watery diarrhea is not associated with pyloric stenosis, which typically causes dehydration and constipation.

D. Steatorrhea, or fatty stools, is not a feature of pyloric stenosis but rather is associated with malabsorption syndromes.

A. Apply topical diphenhydramine to affected site. B. Apply a cool pack to reduce the swelling. C. Position the child in a supine position with legs elevated. D. Assess the client's airway and breathing rate.

Correct Answer is D

Explanation

A. Applying topical diphenhydramine may help with local itching but is not the priority in a child with a known allergy to insect stings.

B. A cool pack can reduce swelling but is not the priority action if an allergic reaction is suspected.

C. Positioning the child with legs elevated is appropriate if there are signs of shock but does not address the immediate risk of airway compromise.

D. Assessing the client's airway and breathing rate is the priority because a child with a known allergy to insect stings is at risk for anaphylaxis, which can cause airway obstruction and respiratory distress. Early recognition and intervention are critical.

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In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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