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A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

A.

Low-carbohydrate, low-protein diet.

B.

Regular diet, no added salt.

C.

Low-protein, low-potassium diet.

D.

Low-sodium, fluid-restricted diet.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

A low-carbohydrate, low-protein diet is not appropriate for a child with acute glomerulonephritis. Carbohydrates and proteins are essential nutrients, and restricting them can lead to malnutrition and other complications.

 

Choice B rationale

 

A regular diet with no added salt is not sufficient for managing acute glomerulonephritis with peripheral edema. Sodium restriction is necessary to help reduce fluid retention and edema.

 

Choice C rationale

 

A low-protein, low-potassium diet is not the best choice for managing acute glomerulonephritis. While protein and potassium intake may need to be monitored, the primary focus should be on sodium and fluid restriction.

 

Choice D rationale

 

A low-sodium, fluid-restricted diet is the correct choice. Sodium restriction helps reduce fluid retention and edema, while fluid restriction helps manage fluid balance and prevent further complications.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Blood pressure is not the most reliable indicator of fluid loss in infants. Blood pressure can remain normal until dehydration is severe.

Choice B rationale

Respiratory rate can be affected by many factors and is not the most reliable indicator of fluid loss.

Choice C rationale

Body weight is the most reliable indicator of fluid loss in infants. A significant decrease in body weight indicates significant fluid loss and helps guide appropriate fluid replacement therapy.

Choice D rationale

Skin integrity can be affected by many factors and is not the most reliable indicator of fluid loss.

Correct Answer is D

Explanation

ChoiceA rationale

Hypotensionisnotacommonmanifestationofhypoxemiaduringanasthmaattack.

ChoiceB rationale

Dysphagiaisnotacommonmanifestationofhypoxemiaduringanasthmaattack.

ChoiceCrationale

Nauseaisnotacommonmanifestationofhypoxemiaduring anasthmaattack.

ChoiceD rationale

Agitationisacommonmanifestationofhypoxemiaduringanasthmaattack.Hypoxemiacancauserestlessnessandagitationduetothelackof oxygenin thebody.

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