A nurse is caring for a 2-year-old child in an acute care setting.
Which of the following vital signs require immediate notification to a primary care provider?

 

The correct answer is Choice D.

Choice A rationale

A low-carbohydrate, low-protein diet is not appropriate for a child with acute glomerulonephritis. Carbohydrates and proteins are essential nutrients, and restricting them can lead to malnutrition and other complications.

Choice B rationale

A regular diet with no added salt is not sufficient for managing acute glomerulonephritis with peripheral edema. Sodium restriction is necessary to help reduce fluid retention and edema.

Choice C rationale

A low-protein, low-potassium diet is not the best choice for managing acute glomerulonephritis. While protein and potassium intake may need to be monitored, the primary focus should be on sodium and fluid restriction.

Choice D rationale

A low-sodium, fluid-restricted diet is the correct choice. Sodium restriction helps reduce fluid retention and edema, while fluid restriction helps manage fluid balance and prevent further complications.

The correct answer is D. Checking pedal pulses frequently.

Choice A rationale

Encouraging the child to talk about the procedure is important for emotional support, but it is not the most critical assessment immediately after a cardiac catheterization. The priority is to monitor for potential complications.

Choice B rationale

Confirming to the child that the procedure has been completed is important for reassurance, but it is not the most critical assessment. The priority is to monitor for potential complications.

Choice C rationale

Gradually allowing the child to adapt to the lighted surroundings is not relevant to the immediate post-procedure care. The priority is to monitor for potential complications.

Choice D rationale

Checking pedal pulses frequently is the most important assessment after a cardiac catheterization via the femoral artery. It helps to ensure that there is adequate blood flow to the lower extremities and to detect any signs of arterial obstruction or complications at the catheter insertion site.