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?

Weigh the child once per day.

Position the child supine at bed time.

Limit calorie intake to 45 cal/kg/day.

Increase fluid intake to 2 L/day.

Answer and Explanation

The Correct Answer is A

A.   Daily weight monitoring is essential in managing nephrotic syndrome to assess for fluid retention and response to treatment.
B.   Positioning the child supine at bedtime is not specific to the management of nephrotic syndrome.
C.   Calorie intake may need to be increased rather than limited in nephrotic syndrome to compensate for protein loss and meet increased energy needs.
D.   Fluid intake may need to be restricted rather than increased, depending on the child's fluid status and response to treatment.

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Correct Answer is A

Explanation

A. Applying pressure just above the insertion site helps to control bleeding by compressing the vessel and promoting hemostasis.
B. Monitoring the pulse distal to the insertion site is important but should occur after controlling the bleeding.
C. Obtaining vital signs is important but does not address the immediate need to control bleeding.
D. Reinforcing the dressing may be necessary after controlling the bleeding but is not the first action to take.

A. Maintain extended eye contact. B. Establish a reward system. C. Engage in cooperative play. D. Hold the child during assessments.

Correct Answer is B

Explanation

A. Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (ASD) and may not be an appropriate intervention.
B. Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD.
C. Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication.
D. Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.

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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?

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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?