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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.

B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.

C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.

D. Pancreatic enzymes should be administered with meals, not two hours after.

A. Obtain culture specimens. B. Administer an antipyretic. C. Prepare for intubation. D. Insert an IV catheter.

Correct Answer is C

Explanation

A. While obtaining culture specimens is important, the priority in this case is managing the child’s airway, as drooling and difficulty swallowing suggest potential airway obstruction.

B. Administering an antipyretic is not the priority; airway management is more urgent in this situation.

C. The priority is to prepare for intubation, as the child’s symptoms suggest possible epiglottitis, which can cause rapid airway obstruction. Securing the airway is critical.

D. Inserting an IV catheter is important for hydration and medication administration, but airway management is the immediate priority.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

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