the nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet the nurse should discuss what

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?

A. Consuming a regular diet
B. Increasing protein
C. Restricting fluids
D. Decreasing calories

Correct answer: C

Rationale: Fluid restriction is often necessary to manage severe edema associated with MCNS. Increasing protein is not typically recommended due to the risk of exacerbating proteinuria, and calorie reduction is not generally needed.

2. What is the narrowing of the preputial opening of the foreskin called?

A. Chordee
B. Phimosis
C. Epispadias
D. Hypospadias

Correct answer: B

Rationale: Phimosis is the condition where the foreskin cannot be fully retracted over the glans penis due to a narrowing of the preputial opening. Chordee, epispadias, and hypospadias are different conditions involving the penis's structure.

3. At which age do most infants begin to fear strangers?

A. 2 months
B. 4 months
C. 6 months
D. 12 months

Correct answer: C

Rationale: Fear of strangers typically begins around 6 months as infants start recognizing familiar and unfamiliar faces, which is part of their social development.

4. The parents of an infant with a cleft palate ask the nurse, "What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?

A. Your infant will not need any subsequent follow-up care
B. Your infant will only need to be evaluated by an audiologist
C. Your infant will only need follow-up with a speech pathologist
D. Your infant will need follow-up with audiologists and orthodontists

Correct answer: D

Rationale: After cleft palate repair, the child will need ongoing follow-up with audiologists, speech pathologists, and orthodontists to monitor hearing, speech development, and dental alignment.

5. Which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma?

A. Atrial fibrillation
B. Endocarditis
C. Hyperlipidemia
D. Hypertension

Correct answer: D

Rationale: The correct answer is D: Hypertension. Nephroblastoma, also known as Wilms' tumor, often causes hypertension due to its impact on the kidney, which plays a role in regulating blood pressure. Atrial fibrillation (choice A) and endocarditis (choice B) are not typically associated with nephroblastoma. Hyperlipidemia (choice C) is also not a common clinical manifestation of nephroblastoma.