A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.

The nurse should place the client on which of the following diets?

Low-sodium, ﬂuid-restricted.

Regular diet, no added salt.

Low-protein, low-potassium diet.

Low-carbohydrate, low-protein diet.

Answer and Explanation

The Correct Answer is A

The nurse should place the client on a low-sodium, ﬂuid-restricted diet.
Acute glomerulonephritis is a kidney disease that can cause ﬂuid retention and edema.
A low-sodium diet can help reduce ﬂuid retention and swelling.
Fluid restriction can also help manage ﬂuid balance and prevent further complications.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s ﬂuid retention and edema.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.

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Correct Answer is D

Explanation

a.Log rolling is an appropriate technique to reposition a postoperative scoliosis repair patient as it minimizes stress on the spine and helps maintain spinal alignment. Patients need frequent repositioning to prevent pressure ulcers and promote comfort, but every 4 hours may not be frequent enough; typically, every 2 hours is recommended.

b.Protective isolation is not typically required for patients undergoing scoliosis surgery unless they have specific risk factors for infection (e.g., immunocompromised status). Standard postoperative care focuses on monitoring for infection at the surgical site rather than isolation unless indicated by the patient's condition.

c.While it’s important to elevate the head of the bed to assist with breathing and comfort, after scoliosis surgery, the head of the bed is generally elevated to 30-45° to facilitate lung expansion and reduce the risk of aspiration. However, it should be ensured that this angle does not compromise spinal alignment, especially in the early postoperative period.

d.The use of a patient-controlled analgesia (PCA) pump is an appropriate intervention for pain management after scoliosis surgery. It allows the patient to self-administer pain medication within prescribed limits, leading to more effective pain management, improved patient satisfaction, and potentially reduced need for supplemental analgesics.

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.". B. "Sleep apnea is the main cause of SIDS.". C. "Placing your child on her back when sleeping will decrease the risk of SIDS.". D. "SIDS rates have been rising over the last 10 years.".

Correct Answer is C

Explanation

The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines

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A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

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Correct Answer is D

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A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.

The nurse should place the client on which of the following diets?