A nurse is creating a plan for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema, which of the following interventions should the nurse include in the plan?
Place the child in an airborne infection isolation room.
Encourage an increased fluid intake for the toddler.
Increase the toddler's dietary sodium intake.
Administer corticosteroids to the toddler.
The Correct Answer is D
A. There is no indication that the child has a contagious infection, so airborne isolation is unnecessary.
B. Increasing fluid intake can worsen edema in nephrotic syndrome, as it may contribute to fluid retention.
C. In nephrotic syndrome, reducing dietary sodium intake is typically recommended to help manage edema, not increase it.
D. Corticosteroids are the standard treatment for minimal change nephrotic syndrome to reduce inflammation and protein loss in the urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing the infant supine in the crib is not a recommended position for administering oral medication as it may cause choking or aspiration.
B. Mixing medication with formula is not recommended, as it may alter the effectiveness of the medication or lead to incomplete dosing.
C. Positioning the syringe to the side of the infant's tongue is the best method to prevent choking and allow the infant to swallow the medication effectively.
D. A medicine cup is not appropriate for measuring medication for an infant due to the small volume and potential for spillage.
Correct Answer is A
Explanation
A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.
B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.
C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.
D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.
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