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 D

Explanation

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

A. Dry mouth B. Reports of mild to moderate pain C. Dried flecks of blood in oral secretions D. Frequent swallowing

Correct Answer is D

Explanation

A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.

B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.

C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.

D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.

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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

An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Correct Answer is D

Explanation

A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

Correct Answer is D

Explanation

While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

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