Author Question: A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare ... (Read 78 times)

jCorn1234 · **on:** Jun 28, 2018

A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?

1. Reposition the child every two hours.
2. Monitor BP every 30 minutes.
3. Encourage fluids.
4. Limit visitors.

Question 2

A preschool-age client is diagnosed with acute glomerulonephritis and is admitted to the hospital. Which nursing diagnosis is most appropriate for this client?

1. Risk for Injury Related to Loss of Blood in Urine
2. Fluid-Volume Excess Related to Decreased Plasma Filtration
3. Risk for Infection Related to Hypertension
4. Altered Growth and Development Related to a Chronic Disease

nickk12214 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.

Answer to Question 2

Correct Answer: 2
Rationale: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.