The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?
a. Consuming a regular diet
b. Increasing protein
c. Restricting fluids
d. Decreasing calories
ANS: C
During the edematous stage of active nephrosis, the child has restricted fluid and sodium intake. As the edema subsides, the child is placed on a diet with increased salt and fluids. A regular diet is not indicated. There is no evidence that a diet high in protein is beneficial or has an effect on the course of the disease. Calories sufficient for growth and tissue healing are essential. With the child having little appetite and the fluid and salt restrictions, achieving adequate nutrition is difficult.
You might also like to view...
A nurse is taking a class on providing culturally competent care for clients with severe mental illnesses. Which response best reflects the nurse's self-awareness of the sociocultural factors influencing his or her beliefs?
1. "When I was growing up, my parents believed that mental illnesses were the work of evil spirits." 2. "All that I need to understand about the culture of mental illness is available on the Internet." 3. "My father was a psychiatrist, so I am very knowledgeable about how to work with mental illnesses." 4. "I have been through therapy, so I know what to expect from clients with mental illnesses."
A young woman is panic-stricken. She had not realized how much she was drinking, and she thinks she had unprotected sex with several men last night. She is petrified and wants an HIV test immediately
Which of the following actions should be taken by the nurse? a. Give her a strong lengthy lecture about the dangers of alcohol b. Administer the HIV test c. Provide a physical examination, testing for all sexually transmitted diseases (STDs) d. Suggest she be treated immediately to be safe
The nurse manager is concerned that a staff nurse is demonstrating signs of substance abuse
Which behaviors did the manager observe in the staff nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Calling for days off or illness before scheduled days off 2. Using the bathroom frequently 3. Offering to give medication to patients not assigned to the nurse 4. Volunteering to transfer a patient to the intensive care unit 5. Following up with nursing assistants on patient care needs
Changes in T-cell function in older adults will result in:
A) active immunity. B) inadequate nutrition. C) risk of infection. D) onset of chronic disease.