A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?
1. Reposition the child every two hours.
2. Monitor BP every 30 minutes.
3. Encourage fluids.
4. Limit visitors.
Correct Answer: 1
Rationale: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours. Vital signs are taken every four hours, fluids need to be monitored and should not be encouraged, and the child needs social interaction, so visitors should not be limited.
You might also like to view...
A postpartum client would be at increased risk for postpartum hemorrhage if she deli-vered a(n):
a. 5 lb, 2 oz infant with outlet forceps. b. 6.5 lb infant after a 2-hour labor. c. 7 lb infant after an 8-hour labor. d. 8 lb infant after a 12-hour labor.
In 2004, the American Association of Colleges of Nursing published a position paper stating that the preparation for advanced nursing practice should be at which education level?
1. Masters 2. Bachelors 3. Doctoral 4. Certification
In planning care for a preschool-age child, the nurse knows that which open body postures encourage positive communication? Select all that apply
a. Leaning away from the preschooler b. Frequent eye contact c. Hands on hips d. Conversing at eye level e. Asking the parents to stay in the room
The nurse is planning a teaching session about STIs for a group of college students. What should the nurse keep in mind when teaching?
Select all that apply. 1. One in two sexually active persons will contract an STI by age 25. 2. Many STIs are more easily transmitted from a man to a woman than from a woman to a man. 3. Oral contraceptives do not protect against STIs. 4. Research supports that there is a relationship between domestic violence and STI infections. 5. Sexual activity with multiple partners is associated with increased incidence of STIs.