Silvestri, 3/e, ISBN 1-1460-0052-6Chapter 034 (edited file)—"Renal and Urinary Disorders"10/14/08, Page 2 of 9, 1 Figure(s), 0 Table(s), 2 Box(es)
Content Area: Child HealthReference: Price, D., & Gwin, J. (2005).
Thompson’s pediatric nursing
(9th ed.). Philadelphia:W.B. Saunders, p. 245.3. A nurse is assisting in developing a plan of care for a 7-year-old child diagnosed with acuteglomerulonephritis. The nurse includes which intervention in the plan of care?1. Encourage limited activity and provide safety measures.2. Catheterize the child to strictly monitor intake and output.3. Force intake of oral fluids to prevent hypovolemic shock.4. Encourage classmates to visit and to keep the child informed of school events.Answer: 1Rationale: Activity is limited and most children, because of fatigue, voluntarily restrict their activities during the active phase of the disease. Catheterization may cause a risk of infection.Fluids should not be forced. Visitors should be limited to allow for adequate rest.Test-Taking Strategy: Use the process of elimination. Eliminate option 4 because rest is the priority over socialization. Eliminate option 2 next. Although monitoring I&O is essential, therisk of infection could occur with catheterization. From the remaining options, eliminate option3 because of the words “force fluids.” Review the appropriate nursing interventions for the childwith glomerulonephritis, if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/PlanningContent Area: Child HealthReference: Price, D., & Gwin, J. (2005).
Thompson’s pediatric nursing
(9th ed.). Philadelphia:W.B. Saunders, p. 246.4. A nurse is assisting in performing an admission assessment on a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that a commoncharacteristic associated with nephrotic syndrome is:1. Generalized edema2. Frank bright red blood in the urine3. Increased urinary output4. HypotensionAnswer: 1Rationale: Nephrotic syndrome is defined as massive proteinuria, hypoalbuminemia, and edema.Urine is dark, foamy, and frothy, but microscopic hematuria may be present; frank bright red blood in the urine does not occur. Urine output is decreased and the blood pressure is normal or slightly decreased.Test-Taking Strategy: Use the process of elimination. Eliminate option 3 first, because urineoutput is most likely to be decreased in a renal disorder. From the remaining options, associateedema with nephrotic syndrome because this will be helpful to you if you encounter a similar question. If you had difficulty with this question, review the characteristics of nephroticsyndrome.Level of Cognitive Ability: ApplicationClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/Data Collection