A nurse is planning care for a child admitted with nephrotic syndrome. Which interventions should be included in the plan of care? Select all that apply
a. Administration of antihypertensive medications
b. Daily weights
c. Salt-restricted diet
d. Frequent position changes
e. Teaching parents to expect tea-colored urine
B, C, D
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Correct A child with nephrotic syndrome will need to be monitored closely for
fluid excess so daily weights are important. The diet is salt restricted to
prevent further retention of fluid. Because of the fluid excess, frequent
position changes are required to prevent skin breakdown.
Incorrect Nephrotic syndrome does not require antihypertensive medications. These
are administered for acute glomerulonephritis. Tea-colored urine is
expected with acute glomerulonephritis, but not nephrotic syndrome. The
urine in nephrotic syndrome is frothy indicating protein is being lost in the
urine.
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