Which food should be avoided by a child with acute glomerulonephritis to prevent hyperkalemia, as recommended by the nurse?- Nurselytic

Question 1 of 5

Which food should be avoided by a child with acute glomerulonephritis to prevent hyperkalemia, as recommended by the nurse?

A. Dairy products B. Whole-grain cereals C. Organ meats D. Bananas

Correct Answer: D

Rationale: Bananas are rich in potassium, which can contribute to hyperkalemia in individuals with acute glomerulonephritis. It is essential to limit potassium intake to prevent further complications associated with high potassium levels in the blood.

Question 2 of 5

When developing a home program for self-care, which approach is the most effective?

A. Require the parent to practice the steps regularly and track progress. B. Introduce new home programs weekly with clear instructions for the parent to follow. C. List all the steps and have the parent teach them to the child without practicing. D. Practice the new steps until the child is ready to independently perform them at home.

Correct Answer: D

Rationale: The most effective approach when developing a home program for self-care is to practice the new steps with the child until they are capable of independently carrying them out at home. This method ensures that the child has mastered the skills before transitioning to independent implementation. It is essential for the child's success in self-care activities and promotes their autonomy and confidence. Requiring the parent to practice the steps regularly and track progress, introducing new programs weekly, or having the parent teach the steps without practice may not be as beneficial in fostering the child's independence and skill acquisition.

Question 3 of 5

A child with glomerulonephritis receiving corticosteroid treatment requires dietary teaching. What instruction should the nurse provide to the parent?

A. Increase the child's intake of potassium-rich foods. B. Encourage the child to eat low-calorie snacks. C. Offer the child a variety of fresh fruits. D. Restrict the child's fluid intake.

Correct Answer: C

Rationale: The correct answer is to offer the child a variety of fresh fruits. Glomerulonephritis and corticosteroid use can lead to potassium depletion. Fresh fruits are a good source of potassium, which can help counteract the depletion caused by corticosteroids. Encouraging a variety of fresh fruits can provide necessary nutrients and help maintain a balanced diet for the child.

Question 4 of 5

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

A. Assist the child in minimizing body movements. B. Change the child's position frequently. C. Maintain the child's bed flat. D. Keep edematous areas moist and covered.

Correct Answer: B

Rationale: Changing the child's position frequently is essential for preventing respiratory tract infections and reducing pressure on delicate skin, which are common risks for edematous children with reduced mobility due to nephrotic syndrome. This intervention helps promote circulation and prevents complications associated with prolonged immobility.

Question 5 of 5

What is the priority nursing action when preparing a neonate born with a gastroschisis defect for transport to a pediatric hospital for corrective surgery?

A. Covering the exposed intestines with sterile moist gauze B. Wrapping the newborn warmly in two or three blankets C. Providing sterile water feeding to maintain hydration during transport D. Allowing the parents of the newborn to see their child prior to transport

Correct Answer: A

Rationale: The priority nursing action when preparing a neonate born with a gastroschisis defect for transport is to cover the exposed intestines with sterile moist gauze. This action helps prevent infection and keeps the tissue viable during transportation to the pediatric hospital for corrective surgery.

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Nurselytic

ATI RN