Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.Which of the following interventions should the nurse include in the plan of care?
Correct answer
A
Rationale
The correct answer is A: Weigh the child once per day. This intervention is essential for monitoring the child's nutritional status and overall health. Daily weight checks can help detect changes in weight, which may indicate fluid retention, malnutrition, or other health issues. Increasing fluid intake to 2 L/day (B) could be excessive for a child depending on age and weight. Positioning the child supine at bedtime (C) may not be relevant to the plan of care. Limiting calorie intake to 45 cal/kg/day (D) without proper assessment may not be suitable for the child's individual needs.