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 C

Explanation

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

A. Capillary refill greater than 3 seconds B. Respiratory rate 24/min C. Urine specific gravity 1.015 (nl. 1.005-1.030) D. Heart rate 130/bpm

Correct Answer is C

Explanation

A. A capillary refill greater than 3 seconds suggests ongoing dehydration and poor perfusion, indicating that oral rehydration has not been fully effective.

B. A respiratory rate of 24/min is within normal limits for a 4-year-old but is not a direct indicator of hydration status.

C. A urine specific gravity of 1.015 is within the normal range, indicating adequate hydration and that oral rehydration therapy has been effective.

D. A heart rate of 130 bpm, while potentially normal for a 4-year-old, does not specifically indicate the effectiveness of rehydration therapy.

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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 C

Explanation

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Correct Answer is C

Explanation

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