Nokea
An 8 year-old child is hospitalized during the edema phase of minimal change nephrotic syndrome. The nurse is assisting in choosing the lunch menu. Which menu is the best choice?
- A. Bologna sandwich, pudding, milk
- B. Frankfurter, baked potato, milk
- C. Chicken strips, corn on the cob, milk
- D. Grilled cheese sandwich, apple, milk
Correct Answer: C
Rationale: This menu is lowest in sodium. Ideally, low fat milk would be available.
You may also like to solve these questions
A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.
Which of the following would you most likely suspect?
- A. Atherosclerosis
- B. Diabetic neuropathy
- C. Autonomic neuropathy
- D. Somatic neuropathy
Correct Answer: C
Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.
For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:
For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:
- A. Remove all corns and stop smoking.
- B. Always wear shoes and use natural fiber socks.
- C. Wear nylon socks and wash feet in warm water.
- D. Wear shoes that are slightly larger and avoid corn removers.
Correct Answer: B
Rationale: Wearing shoes and natural fiber socks protects diabetic feet and promotes circulation.
The incidence of Sickle Cell Anemia is higher among black American babies.
The symptoms of sickle cell anemia are not evident until later during infancy because
- A. The baby is fed with milk formula, which is rich in ironbfb.
- B. The infant has a much higher RBC count than children and adult.
- C. Maternal iron is depleted later in infancy.
- D. Infants have more body fluids than any age group.
Correct Answer: C
Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:
- A. Level of consciousness
- B. Gag reflex
- C. Urinary output
- D. Movement of extremities
Correct Answer: B
Rationale: Assessing the gag reflex is critical post-esophagoscopy to ensure the client can swallow safely, as local anesthesia may impair this reflex.
Which of the following lab reports indicates that a client with acute glomerulonephritis is improving?
- A. Positive ASO titer
- B. Increased C reactive protein
- C. Negative eosinophil count
- D. Decreased erythrocyte sedimentation rate
Correct Answer: D
Rationale: A decreased erythrocyte sedimentation rate indicates reduced inflammation, suggesting improvement in acute glomerulonephritis.