A nurse is caring for a child who has acute glomerulonephritis.
Which of the following actions is the nurse's priority?
Check the child's daily weight.
Educate the parents about potential complications.
Place the child on a no-salt-added diet.
Maintain a saline lock.
The Correct Answer is A
Nursing care planning goals for a child with acute glomerulonephritis are directed toward the excretion of excess fluid through urination.
Monitoring fluid status is very important and daily weights are an effective way to monitor fluid retention, as weight gain is the earliest sign of fluid retention.
Choice B, Educating the parents about potential complications, is important but not the nurse’s priority.
Choice C, Place the child on a no-salt-added diet, which may be part of the treatment
plan but is not the nurse’s priority.
Choice D, Maintaining a saline lock, may be necessary for administering medications but is not the nurse’s priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Adolescents affected by scoliosis often experience body image dissatisfaction.
Therefore, the nurse should anticipate body image changes as the most common reaction.
Choice B is not correct because loss of privacy is not the most common reaction
when dealing with scoliosis surgery.
Choice C is not correct because feelings of displacement are not the most
common reaction when dealing with scoliosis surgery.
Choice D is not correct because identity crisis is not the most common reaction
when dealing with scoliosis surgery.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Yellow nasal discharge is typically associated with respiratory infections or allergies and is not a symptom of nephrotic syndrome.
Choice B rationale:
Poor appetite can be a nonspecific symptom and may be seen in various conditions, including nephrotic syndrome. However, it is not a primary indicator.
Choice C rationale:
Facial edema is a hallmark sign of nephrotic syndrome. This condition is characterized by significant swelling, particularly around the eyes and face, due to fluid retention caused by low levels of albumin in the blood.
Choice D rationale:
Irritability can be a symptom of many conditions and is not specifically indicative of nephrotic syndrome.
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