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 D

Explanation

A. Administering an IV bolus medication does not typically require gowning unless there is a risk of exposure to bodily fluids.

B. Talking to the client does not necessitate wearing a gown, as it does not pose a risk of exposure.

C. Administering an IM injection may require gloves but not necessarily a gown unless there is a risk of splashing.

D. Completing a dressing change involves potential exposure to bodily fluids, so wearing a gown is appropriate for infection control.

A. I can give Children's Tylenol if my child is s B. I can give Children's Ibuprofen if my child is in pain C. My child should complete the entire course of antibiotics even if they seem better after a few days D. I should give my toddler one baby aspirin for pain

Correct Answer is D

Explanation

A. Administering Children's Tylenol (acetaminophen) is appropriate for pain relief in toddlers and does not indicate a need for further teaching.

B. Children's Ibuprofen is also acceptable for pain management in this age group, demonstrating the caregiver's understanding of pain management options.

C. Completing the entire course of antibiotics is essential to ensure the infection is fully treated and helps prevent antibiotic resistance.

D. Baby aspirin is contraindicated in children due to the risk of Reye’s syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.

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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?

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