Author Question: The nurse is reviewing the physician's prescriptions for a child hospitalized with nephrotic ... (Read 29 times)

jenna1 · **on:** Jul 22, 2018

The nurse is reviewing the physician's prescriptions for a child hospitalized with nephrotic syndrome. Which of the following dietary prescriptions would the nurse expect to be prescribed for the child?

1. A low-fat diet
2. A full liquid diet
3. A high-protein, high-salt diet
4. A normal protein, mild sodium diet

Question 2

The nurse overhears the physician stating that the client who is in hypovolemic shock requires plasma expansion. The nurse anticipates that the physician will write a prescription to transfuse which of the following blood products to this client?

1. Albumin
2. Platelets
3. Cryoprecipitate
4. Packed red blood cells

Zebsrer · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: A diet that is normal in protein, with a mild sodium restriction (to reduce fluid reten-tion), is normally prescribed for the child with nephrotic syndrome. A low-fat diet, a full liq-uid diet, and a high-protein, high-salt diet are incorrect options for this child.

Answer to Question 2

1

Rationale: Albumin may be used as a plasma expander in hypovolemia with or without shock. Cryoprecipitate is useful in treating bleeding from hemophilia or disseminated intravascular co-agulopathy because it is rich in clotting factors. Packed red blood cells replace erythrocytes and are not a plasma expander. Platelets are used when the client's platelet count is low, typically below 20,000/mm3.