A nurse needs to clarify an order for a child with Nephrotic ...

[FButt]

A nurse needs to clarify an order for a child with Nephrotic syndrome. Identify the incorrect order.
 
  1. Provide a diet low in sodium and high in protein.
   2. Check for ketones and protein in each void.
   3. A weight check is needed every three days.
   4. Check blood pressure every four hours.

Question 2

Identify a developmentally-appropriate activity that can be used to speak to a 6 year old about the terminal illness of his sibling.
 
  1. Playing checkers and speaking about the illness.
   2. Playing with action figures and discussing how death occurs.
   3. Playing with crayons and drawing pictures of how a child views his sibling at this time.
   4. All of the above are correct.

[macagnavarro]

Answer to Question 1

3
Feedback
1. Low sodium and high protein is needed to decrease the chance for edema and provide the correct amount of calories.
2. Checking for both will demonstrate the work the kidneys need to perform in order to maintain function.
3. A weight check is needed every day.
4. A blood pressure check is needed frequently because of the instability in kidney function to prevent further damage.

Answer to Question 2

4
Feedback
1. Having a diversional activity allows the child to express themselves without having to look directly at the adult.
2. Action figures can help act out how death occurs.
3. Expression through art is a technique that children are able to comprehend and is not threatening to them.
4. Diversion, acting, and art can help children express and discuss the death process.

[FButt]

Thank you

[macagnavarro]

Happy to help you