A nurse is planning care for a child admitted with nephrotic ...

[colton]

A nurse is planning care for a child admitted with nephrotic syndrome. Which interventions should be included in the plan of care? Select all that apply.
 
  a. Administration of antihypertensive medica-tions
  b. Daily weights
  c. Salt-restricted diet
  d. Frequent position changes
  e. Teach parents to expect tea-colored urine

Question 2

Which is a true statement describing the differences in the pediatric genitourinary system compared with the adult genitourinary system?
 
  a. The young infant's kidneys can more effectively concentrate urine than can an adult's kidneys.
  b. After 6 years of age, kidney function is nearly like that of an adult.
  c. Unlike adults, most children do not regain normal kidney function after acute renal failure.
  d. Young children have shorter urethras, which can predispose them to urinary tract infections.

[zhanghao]

Answer to Question 1

B, C, D
A child with nephrotic syndrome will need to be monitored closely for fluid excess so daily weights are important. The diet is salt restricted to prevent further retention of fluid. Because of the fluid excess, frequent position changes are required to prevent skin breakdown. Nephrotic syndrome does not require antihypertensive medications. These are administered for acute glomerulonephritis. Tea-colored urine is expected with acute glomerulonephritis, but not nephrotic syndrome. The urine in nephrotic syndrome is frothy indicating protein is being lost in the urine.

Answer to Question 2

D
Young children have shorter urethras, which can predispose them to urinary tract infections. The young infant's kidneys cannot concentrate urine as efficiently as those of older children and adults because the loop of Henle is not yet long enough to reach the inner medulla, where concentration and reabsorption occur. By 6 to 12 months of age, kidney function is nearly like that of an adult. Unlike adults, most children with acute renal failure regain normal function.

[colton]

Excellent

TYSM