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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses.
A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness.
An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy.
A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
Correct Answer is B
Explanation
A. Placing the child prone (face-down) is not appropriate for a lumbar puncture as it would make access to the lumbar spine difficult.
B. Placing the child in a lateral position (lying on their side with knees drawn up towards the chest) allows for proper positioning of the spine for the lumbar puncture procedure.
C. Placing the child supine (lying on their back) is not appropriate for a lumbar puncture as it does not provide the necessary spinal alignment for the procedure.
D. Placing the child in a semi-Fowler's position (with the head of the bed elevated at a 45-degree angle) is not appropriate for a lumbar puncture as it does not facilitate access to the lumbar spine.
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