The diet of a child with nephrosis usually includes which requirement?
High protein.
Low fat.
Salt restriction.
High carbohydrate.
The Correct Answer is C
The correct answer is choice C: "Salt restriction."
Choice A rationale:
The requirement of a high protein diet is not typically indicated for a child with nephrosis. Nephrosis, a condition characterized by excessive protein in the urine, indicates a need to reduce protein intake to alleviate kidney stress and proteinuria.
Choice B rationale:
A low fat diet is not a specific requirement for a child with nephrosis. The focus in nephrosis is primarily on protein and salt intake rather than fat content.
Choice C rationale:
Salt restriction is the correct requirement for a child with nephrosis. Nephrosis often leads to fluid retention and edema due to impaired kidney function. Restricting salt intake helps to reduce fluid retention and manage blood pressure.
Choice D rationale:
A high carbohydrate diet is not commonly prescribed for a child with nephrosis. While carbohydrates are a source of energy, they are not a primary consideration in managing nephrosis. The emphasis is more on protein and salt intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: "I have to stay on strict bed rest for 3 days."
Choice A rationale:
The statement "I should avoid tub baths but may shower" is correct. After a cardiac catheterization, the patient needs to keep the insertion site clean and dry to prevent infection. Showering is allowed, but tub baths should be avoided to minimize the risk of introducing water into the insertion site.
Choice B rationale:
The statement "I have to stay on strict bed rest for 3 days" is incorrect. Bed rest is not typically required after a cardiac catheterization. While the patient might need to lie flat for a few hours after the procedure to prevent bleeding and ensure hemostasis, strict bed rest for three days is unnecessary and could lead to complications like deep vein thrombosis (DVT) or deconditioning.
Choice C rationale:
The statement "I may attend school but should avoid exercise for several days" is correct. Attending school is generally acceptable after a cardiac catheterization, but exercise should be limited for several days to allow the insertion site to heal and to prevent complications like bleeding or hematoma formation.
Choice D rationale:
The statement "I should remove the pressure dressing the day after the procedure" is correct. Pressure dressings are typically removed by healthcare professionals after a specified period, which is usually around 24 hours after the procedure. Removing the dressing on their own the day after the procedure could lead to disruption of the wound and increase the risk of infection.
Correct Answer is ["A","E"]
Explanation
The correct answers are Choice A: Diabetes mellitus, Choice E: Urinary tract infection (UTI).
Choice A rationale:
Diabetes mellitus. This is one of the correct choices. Diabetes can lead to increased urinary frequency, urgency, and secondary enuresis (bedwetting) due to the impact of elevated blood glucose levels on the kidneys and bladder function.
Choice B rationale:
Hypocalciuria is not directly relevant to evaluating secondary enuresis with dysuria or urgency. Hypocalciuria refers to a lower-than-normal level of calcium in the urine and is not a common cause of urinary symptoms in this context.
Choice C rationale:
Nephrotic syndrome primarily involves the kidneys and is characterized by proteinuria, edema, hypoalbuminemia, and hyperlipidemia. While it can cause changes in urinary patterns, it is not typically associated with dysuria or urgency.
Choice D rationale:
Glomerulonephritis refers to inflammation of the glomeruli, which are the tiny filters in the kidneys. It can lead to hematuria (blood in the urine) and proteinuria, but it is not commonly associated with dysuria or urgency.
Choice E rationale:
Urinary tract infection (UTI). This is one of the correct choices. UTIs can cause symptoms such as dysuria (painful urination), urgency, and frequency. These symptoms are especially relevant in the context of evaluating a child with secondary enuresis.
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