Author Question: A child with nephritic syndrome has been placed on prednisone. The nurse knows that for this ... (Read 47 times)

swpotter12 · **on:** Jun 28, 2018

A child with nephritic syndrome has been placed on prednisone. The nurse knows that for this syndrome, the administration will be:

1. Daily for six weeks and then alternate-day doses for six weeks.
2. Daily for one week.
3. On a short-burst schedule.
4. Infrequent.

Question 2

A child with nephritic syndrome is severely edematous. The primary health care provider has placed the child on bedrest. An important nursing intervention for this child would be to:

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

angrybirds13579 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Prednisone, a corticosteroid with anti-inflammatory action that is frequently used to treat nephritic syndrome, is administered daily for six weeks and then in alternate-day doses for six weeks.
2. Daily for one week would not be effective for treating nephritic syndrome.
3. Short-burst therapy would not be effective for treating nephritic syndrome.
4. Infrequent dosing would not be effective for treating nephritic syndrome.

Answer to Question 2

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 two hours.
2. Vital signs are taken every four hours.
3. Fluids need to be monitored, and should not be encouraged.
4. The child needs social interaction, so visitors should not be limited.