For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?

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Question 1 of 5

For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?

Correct Answer: A

Rationale: Hypertension in AGN raises seizure risk, necessitating precautions.

Question 2 of 5

A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?

Correct Answer: A

Rationale: Elbow restraints prevent the infant from touching the surgical site safely.

Question 3 of 5

The nursing care plan for a client with decreased adrenal function should include

Correct Answer: D

Rationale: Adrenal insufficiency (e.g., Addison's) requires constipation prevention due to fluid shifts.

Question 4 of 5

A 15 year-old client with a lengthy confining illness is most at risk for altered psycho-emotional growth and development due to

Correct Answer: A

Rationale: Loss of control from prolonged illness disrupts adolescent autonomy development.

Question 5 of 5

A patient requires assistance with eating. What principle should the nurse follow when feeding the patient?

Correct Answer: D

Rationale: Maintaining a calm and unhurried pace when feeding a patient ensures safety, dignity, and comfort, allowing them to chew and swallow properly without risk of choking or aspiration. Rushing increases stress and danger, especially for those with swallowing difficulties. A large spoon might overwhelm the patient, leading to spills or aspiration, so appropriate utensil size matters. Letting the patient choose the meal entirely is impractical in a hospital setting with dietary restrictions, though offering preferences within limits is ideal. A relaxed approach fosters trust, respects the patient's pace, and aligns with nursing's holistic care principles, preventing complications while preserving the patient's autonomy as much as possible.

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