A child with nephrotic syndrome is severely edematous. The doctor ...

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A child with nephrotic syndrome is severely edematous. The doctor has placed him on bedrest. Which would be an important nursing intervention for this child?
 
  1. Reposition the child every 2 hours.
  2. Monitor blood pressure every 2 hours.
  3. Encourage fluids.
  4. Limit visitors.

Question 2

The various systems and organs develop at different stages. Which statement is accurate?
 
  a. The cardiovascular system is the first organ system to function in the developing
  human.
  b. Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks.
  c. The body changes from straight to C-shaped at 8 weeks.
  d. The gastrointestinal system is mature at 32 weeks.

[Bigfoot1984]

Answer to Question 1

1
Rationale:
1. A child with severe edema, on bedrest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every 2 hours.
2. In cases of nephrotic syndrome with severe edema, vital signs are taken every 4 hours.
3. In cases of nephrotic syndrome with severe edema, fluids need to be monitored, and should not be encouraged.
4. In cases of nephrotic syndrome with severe edema, the child needs social interaction, so visitors should not be limited.

Answer to Question 2

A
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A The heart is developmentally complete by the end of the embryonic stage.
B Hematopoiesis begins in the liver during the 6th week.
C The body becomes C-shaped at 21 weeks.
D The gastrointestinal system is complete at 36 weeks.