The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss?
Poor appetite
Restriction to bed rest
Increased Potassium intake
Reduction of edema
The Correct Answer is D
Weight loss in a child with acute glomerulonephritis is often due to a reduction in edema (fluid retention and swelling). Acute glomerulonephritis can lead to significant edema, as the kidneys may not effectively filter excess fluid and waste products from the body. During hospitalization and treatment, interventions such as diuretics and improved kidney function may result in the gradual removal of excess fluid, leading to a decrease in edema and overall body weight.
The other options are less likely to be the primary cause of the weight loss:
A. Poor appetite: While acute glomerulonephritis can affect appetite, especially due to nausea or other symptoms, it is not typically the primary reason for significant weight loss over a short period.
B. Restriction to bed rest: While being on bed rest can lead to muscle atrophy and loss of lean body mass over an extended period, it is unlikely to result in an 8-pound weight loss in just 4 days unless there are additional factors at play.
C. Increased potassium intake: Increased potassium intake alone would not be a primary cause of significant weight loss. High potassium levels in the blood (hyperkalemia) can occur in kidney disease, but it is not typically associated with rapid weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Force fluids appropriate in age: It's important to ensure that the child receives an appropriate amount of fluids, taking into consideration their age and weight. This helps prevent dehydration and maintain adequate circulation.
In addition to option A, other important nursing care measures for infants and children with congestive heart failure include:
B. Organize activities to allow for uninterrupted sleep: Infants and children with heart failure may become fatigued easily, so it's important to create an environment that allows for sufficient rest and sleep.
C. Monitor respirations during active periods: Monitoring the child's respiratory rate and effort during active periods helps assess for signs of respiratory distress, which can be a manifestation of congestive heart failure.
D. Give smaller, more frequent feedings to conserve energy: Smaller, more frequent feedings can help reduce the energy expenditure required for digestion, making it easier for the child to eat and conserve energy for growth and development.
The focus of nursing care is to manage the symptoms of heart failure, support the child's overall well-being, and prevent complications. The specific interventions may vary based on the child's age, the severity of heart failure, and the underlying cause.
Correct Answer is ["B","D","F"]
Explanation
When developing a teaching plan to prevent urinary tract infections (UTIs), the following recommendations should be included:
B. Emptying bladder with urination: It's important to encourage regular and complete emptying of the bladder to help flush out bacteria and prevent their buildup.
D. Avoiding bubble baths and tight clothing: Bubble baths and tight clothing can irritate the genital area and increase the risk of UTIs, especially in children. Recommending gentle hygiene practices and loose-fitting clothing can help reduce this risk.
F. Maintaining adequate fluid intake: Staying well-hydrated can help dilute urine and flush out bacteria from the urinary tract, reducing the risk of infection.
The following recommendations are not appropriate or effective for preventing UTIs:
A. Keeping urine alkaline by avoiding acidic beverages: While it's true that some individuals believe that altering urine pH can prevent UTIs, this is not a reliable or evidence-based approach. It's not recommended to manipulate urine pH in an attempt to prevent UTIs.
C. Wearing underwear made of synthetic material such as nylon: The choice of underwear material is not a primary factor in preventing UTIs. However, it's generally recommended to wear breathable cotton underwear as it can help maintain a dry environment in the genital area.
E. Avoiding urination before and after intercourse: On the contrary, urinating before and after sexual intercourse is a recommended practice to help flush out any bacteria that may have entered the urethra during sexual activity.
In summary, teaching about proper bladder emptying, avoiding irritants like bubble baths and tight clothing, and maintaining adequate hydration are key components of preventing UTIs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.