What is the priority action the nurse will take for a 4-year old client admitted with minimal change nephrotic syndrome (MCNS) who has hypertension and facial edema?

Monitor the client's fluid volume and hydration status.

Teaching the client's parents about and preparing for a renal biopsy.

Consulting with a registered dietician about adequate intake.

Use only sterile techniques to prevent infections.

Answer and Explanation

The Correct Answer is A

In a client with minimal change nephrotic syndrome (MCNS), the primary concern is the management of fluid volume and hydration status. MCNS is characterized by increased glomerular permeability, leading to excessive protein loss in the urine and subsequent hypoalbuminemia. This can result in fluid retention and edema formation, including facial edema.

Hypertension is a common complication in clients with MCNS, and it further contributes to fluid retention and potential complications. Therefore, closely monitoring the client's fluid volume and hydration status, including daily weights, intake and output measurements, and assessment of edema, is crucial to detect any changes and guide appropriate interventions.

While other actions, such as consulting with a registered dietitian about adequate intake or using sterile technique to prevent infections, may be important aspects of the client's care, they are not the priority in this situation. The immediate concern is managing the client's hypertension and fluid volume status to prevent complications associated with MCNS.

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Correct Answer is B

Explanation

Pernicious anemia is a type of anemia that occurs due to a lack of intrinsic factor, a protein necessary for the absorption of vitamin B12 (cobalamin) in the digestive system. As a result, patients with pernicious anemia are unable to absorb sufficient amounts of vitamin B12 from dietary sources. The treatment for pernicious anemia involves regular administration of cobalamin (B12) injections to bypass the impaired absorption and provide the necessary vitamin B12 directly.

Oral ferrous sulfate tablets are not the appropriate treatment for pernicious anemia. Ferrous sulfate is a form of iron supplement used to treat iron deficiency anemia, which is different from pernicious anemia.

Iron dextran infusions are also not indicated for pernicious anemia. Iron dextran is used for iron replacement therapy in cases of iron deficiency anemia, but it does not address the underlying issue of vitamin B12 deficiency in pernicious anemia.

Routine blood transfusions may be necessary in some cases of pernicious anemia, especially if the patient is severely anemic. However, the primary treatment for pernicious anemia is cobalamin (B12) injections, which provide the necessary vitamin B12 that the patient is unable to absorb.

Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

Lithotripsy and Encourage increased fluid intake are the most important interventions.

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What is the priority action the nurse will take for a 4-year old client admitted with minimal change nephrotic syndrome (MCNS) who has hypertension and facial edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse will plan to teach a patient who has pernicious anemia about the need for:

Correct Answer is B

Explanation

What are the most important nursing interventions for clients with possible renal calculi? List two.

Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

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