A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Increase fluid intake to 2 L/day.
Weigh the child once per day.
Position the child supine at bed time.
Limit calorie intake to 45 cal/kg/day.
The Correct Answer is B
A. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.
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Related Questions
Correct Answer is ["A"]
Explanation
Given the child's recent motor vehicle accident and subsequent orthopedic surgeries, assessing the peripheral circulation is crucial. Comparing pedal pulses helps to determine the adequacy of blood flow to the lower extremities and identify any potential complications such as compartment syndrome. This assessment should be prioritized immediately.
While assessing pain, sedation level, and rechecking temperature are all important, they do not take precedence over assessing the child's circulation and perfusion status following major orthopedic surgeries.
Correct Answer is B
Explanation
A. Amphotericin B is an antifungal medication used to treat serious fungal infections. Impetigo is a bacterial infection and would not be treated with this medication.
B. Impetigo is highly contagious and spread through direct contact. Contact isolation precautions are essential to prevent the spread of the infection to other patients.
C. Healthcare facilities may have internal protocols for reporting certain infections but impetigo is not typically a reportable disease to state health departments.
D. Lidocaine is a local anesthetic and is not indicated for the treatment of impetigo. Antibiotics are the appropriate treatment.
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