The nurse is teaching a child experiencing severe edema ...

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The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?
 
  a. Consuming a regular diet
  b. Increasing protein
  c. Restricting fluids
  d. Decreasing calories

Question 2

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply?
 
  a. The antibiotic therapy contributes to labile blood pressure values.
  b. Hypotension leading to sudden shock can develop at any time.
  c. Acute hypertension is a concern that requires monitoring.
  d. Blood pressure fluctuations indicate that the condition has become chronic.

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Answer to Question 1

ANS: C
During the edematous stage of active nephrosis, the child has restricted fluid and sodium intake. As the edema subsides, the child is placed on a diet with increased salt and fluids. A regular diet is not indicated. There is no evidence that a diet high in protein is beneficial or has an effect on the course of the disease. Calories sufficient for growth and tissue healing are essential. With the child having little appetite and the fluid and salt restrictions, achieving adequate nutrition is difficult.

Answer to Question 2

ANS: C
Blood pressure monitoring is essential to identify acute hypertension, which is treated aggressively. Antibiotic therapy is usually not indicated for glomerulonephritis. Hypertension, not hypotension, is a concern in glomerulonephritis. Blood pressure control is essential to prevent further renal damage. Blood pressure fluctuations do not provide information about the chronicity of the disease.

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