11. The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication?

a. Infection

b. Hypertension

c. Encephalopathy

d. Edema

12. A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this?

a. Prevent infection.

b. Stimulate appetite.

c. Detect evidence of edema.

d. Ensure compliance with prophylactic antibiotic therapy.

13. Which is included in the diet of a child with minimal change nephrotic syndrome?

a. High protein

b. Salt restriction

c. Low fat

d. High carbohydrate

14. Which best describes acute glomerulonephritis?

a. Occurs after a urinary tract infection

b. Occurs after a streptococcal infection

c. Associated with renal vascular disorders

d. Associated with structural anomalies of genitourinary tract

15. A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this acute phase to show:

a. bacteriuria, hematuria.

b. hematuria, proteinuria.

c. bacteriuria, increased specific gravity.

d. proteinuria, decreased specific gravity.

16. A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurse’s best response should be that the:

a. blood pressure will stabilize.

b. the child will have more energy.

c. urine will be free of protein.

d. urinary output will increase.

17. The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. This is most likely the result of:

a. poor appetite.

b. increased potassium intake.

c. reduction of edema.

d. restriction to bed rest.

18. The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

a. “You will need to decrease the number of calories in your child’s diet.”

b. “Your child’s diet will need an increased amount of protein.”

c. “You will need to avoid adding salt to your child’s food.”

d. “Your child’s diet will consist of low-fat, low-carbohydrate foods.”

19. Which is the most appropriate nursing diagnosis for the child with acute glomerulonephritis?

a. Risk for Injury related to malignant process and treatment

b. Fluid Volume Deficit related to excessive losses

c. Fluid Volume Excess related to decreased plasma filtration

d. Fluid Volume Excess related to fluid accumulation in tissues and third spaces

20. The nurse is admitting a child with a Wilms tumor. Which is the initial assessment finding associated with this tumor?

a. Abdominal swelling

b. Weight gain

c. Hypotension

d. Increased urinary output