A preschool-age client diagnosed with with nephrotic syndrome is ...

[Beheh]

A preschool-age client diagnosed with with nephrotic syndrome is placed on prednisone for several weeks. Which teaching point is appropriate for the nurse to include in the teaching plan for this client?
 
  1. Never stop the medication suddenly.
  2. This drug is taken once a week on Sunday.
  3. The child should always take the medication at night before bed.
  4. This drug should be taken with meals.

Question 2

Which symptoms are characteristic of a preschool-age client who is diagnosed with a urinary tract infection?
 
  1. Foul-smelling urine, elevated blood pressure, and hematuria
  2. Severe flank pain, nausea, headache
  3. Headache, hematuria, vertigo
  4. Urgency, dysuria, fever

[Joc]

Answer to Question 1

Correct Answer: 1
Rationale: Prednisone, a corticosteroid with anti-inflammatory action, is frequently used to treat nephrotic syndrome. It should never be stopped suddenly. The drug is taken more than once a week and can be taken any time during the day, but should remain on a constant schedule. Taking with food is always appropriate for most medications, but it does not have to be with a meal.

Answer to Question 2

Correct Answer: 4
Rationale: Clinical manifestations of a urinary tract infection (UTI) in a preschool-age client include fever, urgency, and dysuria. While hematuria may be present, there is no elevated blood pressure, headache, or vertigo.