A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?

ACE inhibitor

Loop diuretics

Corticosteroids

NSAIDs

Answer and Explanation

The Correct Answer is C

A. ACE inhibitor: ACE inhibitors are used to manage hypertension or proteinuria but are not the classification for prednisone.
B. Loop diuretics: Loop diuretics (e.g., furosemide) manage edema but are unrelated to prednisone.
C. Corticosteroids: Prednisone is a corticosteroid that reduces inflammation and suppresses the immune response, which helps decrease proteinuria in nephrotic syndrome.
D. NSAIDs: NSAIDs are anti-inflammatory but are not used for treating nephrotic syndrome as they do not reduce proteinuria or edema.

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Correct Answer is A

Explanation

A. An oral rehydrating solution, such as Pedialyte: Oral rehydration solutions are the best choice for managing dehydration and electrolyte imbalance during diarrhea.
B. Small amounts of clear fluids such as gelatin: Clear fluids alone, like gelatin, lack the necessary electrolytes to treat diarrhea-induced dehydration.
C. Chicken soup because it's high in sodium: Chicken soup may be too high in sodium and can lead to an electrolyte imbalance.
D. Soft foods with rice, bananas, toast, and applesauce: While suitable in recovery, these foods do not replace the immediate need for rehydration and electrolyte balance.

A. Collect a stool sample from the toddler B. Determine if the toddler is voiding C. Initiate isotonic fluids with 20 mEq/L potassium chloride D. Request evaluation of the toddler’s serum electrolytes

Correct Answer is B

Explanation

A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.

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A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?

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