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.   The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome.
B.   Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress.
C.   Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. The nurse should provide a high-calorie, high-protein, low-sodium diet to meet the child's nutritional needs and prevent muscle wasting.
D.   Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload. The nurse should restrict fluid intake according to the provider's orders and based on the child's weight and urine output.

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Correct Answer is B

Explanation

Correct answer: B Rationale:
A) Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary.
B) Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing.
C) Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo.
D) Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.

A. A toddler who has vomited 2 times in the last hour B. A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL) C. A toddler who has an apical pulse of 100/min D. A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L)

Correct Answer is A

Explanation

A. Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler.
B. This digoxin level is within the therapeutic range.
C. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy.
D. This potassium level is within the normal range.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer is A

Explanation

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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?