A child with nephrotic syndrome is severely edematous. The doctor has placed him on bedrest. Which would be an important nursing intervention for this child?
1. Reposition the child every 2 hours.
2. Monitor blood pressure every 2 hours.
3. Encourage fluids.
4. Limit visitors.
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 2 hours.
2. In cases of nephrotic syndrome with severe edema, vital signs are taken every 4 hours.
3. In cases of nephrotic syndrome with severe edema, fluids need to be monitored, and should not be encouraged.
4. In cases of nephrotic syndrome with severe edema, the child needs social interaction, so visitors should not be limited.
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