What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
- A. Teach the child to minimize body movements.
- B. Change the child's position frequently.
- C. Keep the head of the child's bed flat.
- D. Keep edematous areas moist and covered.
Correct Answer: B
Rationale: The child should be turned frequently to prevent respiratory tract infection and to prevent pressure on delicate skin.
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Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: The ileal conduit diverts urine to the colon, and the urine is excreted with the feces, requiring no external appliance.
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
- A. Contact sports
- B. Horseback riding
- C. Alcohol
- D. Diuretic medications
Correct Answer: A
Rationale: Children who have only one kidney should avoid contact sports to prevent injury to that remaining organ.
What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct Answer: D
Rationale: Bananas are very high in potassium and should be avoided.
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
- A. Infection
- B. Urinary retention
- C. Easy bruising
- D. Hypoglycemia
Correct Answer: A
Rationale: Prednisone depresses the immune response and increases susceptibility to infection.
Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
- A. An undescended testicle can reduce fertility.'
- B. The testicle usually descends spontaneously during the first month of life.'
- C. Surgical correction reduces the risk for testicular tumors.'
- D. The optimal time to surgically correct the condition is at diagnosis.'
Correct Answer: A
Rationale: Although orchiopexy improves the condition, the fertility rate among patients may be reduced even when only one testis is undescended.
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