In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Weighing on the same scale each day

Testing the urine for glucose levels regularly

Increasing fluid intake by 50 ml per hour

Ambulating 3 to 4 times a day

Complete the course of prescribed antibiotics

Answer and Explanation

The Correct Answer is A

A. Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

B. Testing urine for glucose levels is not a routine part of nephrotic syndrome management, as glucose levels are not typically affected by this condition.

C. Increasing fluid intake is not advisable in nephrotic syndrome if there is significant edema; fluid management must be tailored to the child's condition.

D. While ambulation is beneficial, it is not as critical as daily weight monitoring in managing nephrotic syndrome.

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Correct Answer is B

Explanation

A. Switching to a different formula may not address the underlying issue and could lead to further complications.

B. Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.

C. Giving oral rehydration solutions is not appropriate before assessing the infant's condition, especially if there’s a possibility of a serious underlying issue.

D. While burping is generally recommended, it is not the solution to the problem of projectile vomiting and does not address the need for urgent assessment.

A. Administer antibiotics. B. Obtain weight weekly C. Encourage increased fluid intake D. Encourage frequent ambulation

Correct Answer is B

Explanation

A. Antibiotics are not routinely indicated for acute glomerulonephritis unless there is an underlying infection; the condition is often related to an immune response.

B. Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.

C. Fluid intake may need to be restricted to manage hypertension and edema, so encouraging increased intake is not appropriate.

D. While ambulation is important for general health, it is not a primary intervention for managing acute glomerulonephritis.

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In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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