What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

Keep edematous areas moist and covered.

Reach the child to minimize body movement

Change the child's position frequently.

Keep the head of the child's bed flat.

Answer and Explanation

The Correct Answer is C

A. Keep edematous areas moist and covered. Keeping edematous areas moist and covered can worsen edema by trapping moisture and heat, leading to increased swelling.
B. Reach the child to minimize body movement. Minimizing body movement is not appropriate as it can lead to muscle weakness and stiffness. Encouraging gentle movement and position changes is beneficial.
C. Change the child's position frequently. Changing the child's position frequently helps prevent complications such as pressure ulcers and improves circulation, which can aid in reducing edema.
D. Keep the head of the child's bed flat. Elevating the head of the bed can help reduce edema by promoting venous return and reducing fluid accumulation in dependent areas.

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Correct Answer is A

Explanation

A. Initiate isotonic fluids with 20 mEq/L potassium chloride. The priority in treating acute gastroenteritis in a toddler is to manage dehydration, which is often severe due to fluid loss from vomiting and diarrhea. Isotonic fluids with electrolytes like potassium chloride help to restore fluid balance and prevent complications like electrolyte imbalances. This is the most urgent action to stabilize the child's condition.
B. Request evaluation of the toddler's serum electrolytes. While important, this can be done after fluid resuscitation has begun to assess the severity of electrolyte imbalances.
C. Determine if the toddler is voiding. Important for assessing renal function, but not the first priority in acute gastroenteritis.
D. Collect a stool sample from the toddler. Useful for identifying the causative organism but not as urgent as fluid resuscitation.

A. Rigid abdomen B. Ribbonlike, foul-smelling stools C. Projectile vomiting D. Chronic hunger

Correct Answer is B

Explanation

A. Rigid abdomen: A rigid abdomen is not typically associated with Hirschsprung disease unless there is severe obstruction and distension.
B. Ribbonlike, foul-smelling stools: Hirschsprung disease causes obstruction of the colon, leading to constipation and ribbonlike, foul-smelling stools proximal to the affected segment.
C. Projectile vomiting: Projectile vomiting is not typically associated with Hirschsprung disease but may occur in other conditions causing bowel obstruction.
D. Chronic hunger: Chronic hunger is not a typical finding in Hirschsprung disease and is more indicative of metabolic or endocrine disorders.

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What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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