« previous next »

Author Question: A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the ... (Read 69 times)

mwit1967

  • Hero Member
  • *****
  • Posts: 501
on: Jun 28, 2018
A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the child's prognosis is related to what factor?
 
  a. Admission blood pressure
  b. Creatinine clearance
  c. Amount of protein in urine
  d. Response to steroid therapy

Question 2

A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for this child?
 
  a. Stimulate appetite.
  b. Detect evidence of edema.
  c. Minimize risk of infection.
  d. Promote adherence to the antibiotic regimen.


batool

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Corticosteroids are the drugs of choice for MCNS. If the child has not responded to therapy within 28 days of daily steroid administration, the likelihood of subsequent response decreases. Blood pressure is normal or low in MCNS. It is not correlated with prognosis. Creatinine clearance is not correlated with prognosis. The presence of significant proteinuria is used for diagnosis. It is not predictive of prognosis.

Answer to Question 2

ANS: C
High-dose steroid therapy has an immunosuppressant effect. These children are particularly vulnerable to upper respiratory tract infections. A priority nursing goal is to minimize the risk of infection by protecting the child from contact with infectious individuals. Appetite is increased with prednisone therapy. The amount of edema should be monitored as part of the disease process, not necessarily related to the administration of prednisone. Antibiotics would not be used as prophylaxis.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Down Syndrome Nasal bridge Down Syndrome Nasal bridge
Sleep Requirements Change with Age Sleep Requirements Change with Age
Measuring the Chest Circumference of a Child Measuring the Chest Circumference of a Child
Physical features of Sjögren's syndrome. Source: Ways Sjogren's Syndrome May Affect the ... Physical features of Sjögren's syndrome. Source: Ways Sjogren's Syndrome May Affect the ...
Serotonin syndrome (SES) Serotonin syndrome (SES)
A single-nucleotide change in the DNA encoding -globin A single-nucleotide change in the DNA encoding -globin
Video: EpiPen Animation (Part 1)

For a complete list of videos, visit our video library