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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Carrying an EpiPen is essential for children with peanut allergies in case of anaphylaxis.
B. This statement indicates a misunderstanding; parents should notify emergency services and seek immediate medical care after using the EpiPen, not just notify the physician's office the next business day.
C. Informing the school nurse about the child’s allergy is crucial for ensuring safety while at school.
D. Having a medical alert bracelet is a wise choice for quickly informing others of the child's allergy in emergencies.
Correct Answer is ["C","D"]
Explanation
A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.
B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.
C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.
D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.
E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.
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