a nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome mcns and 3 pitting edema which of the following interventio

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ATI Pediatrics Proctored Exam 2023

1. A toddler has minimal change nephrotic syndrome (MCNS) and 3+ pitting edema. Which intervention should the nurse include in the plan of care?

A. Encourage an increased fluid intake for the toddler
B. Place the child in an Airborne infection isolation room
C. Increase the toddler's dietary sodium intake
D. Administer corticosteroids to the toddler

Correct answer: D

Rationale: In managing minimal change nephrotic syndrome (MCNS) in children with pitting edema, corticosteroids are the mainstay of treatment. Corticosteroids help reduce inflammation and decrease proteinuria, addressing the underlying cause of MCNS. Therefore, the nurse should prioritize administering the prescribed corticosteroids to the toddler as part of the plan of care.

2. The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?

A. 0.9% normal saline (NS)
B. D5 0.2% (�) normal saline
C. D5W
D. Albumin

Correct answer: A

Rationale: Isotonic dehydration requires the administration of normal saline to restore fluid balance.

3. Which factor will not promote play and playfulness in children?

A. Novel toys
B. Familiar peers
C. Comfortable atmosphere
D. Directive adults

Correct answer: D

Rationale: Directive adults can inhibit spontaneous play and creativity, which are essential for fostering playfulness in children. When adults are too directive, children may feel constrained and less likely to engage in imaginative and free play. Encouraging independence and allowing children to explore and create their play scenarios can enhance playfulness and creativity.

4. The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?

A. Suppress rejection
B. Decrease pain
C. Improve circulation
D. Boost immunity

Correct answer: A

Rationale: Cyclosporine is used to suppress the immune system and prevent rejection of the transplanted kidney. It helps to reduce the risk of the body attacking and rejecting the new organ. This medication is crucial in ensuring the success of the kidney transplant by keeping the immune system in check.

5. When conducting an initial feeding evaluation, the therapist asks the caregiver to bring the utensils, food, and high chair that they typically use. Which statement best reflects the therapist's reasoning for this?

A. Using the child's actual materials will give the therapist an accurate picture
B. The therapist wants to be sensitive to the child's culture
C. The center has limited funds for food and materials
D. The therapist would like to know if the caregiver can follow directions

Correct answer: A

Rationale: By having the caregiver bring the child's familiar utensils, food, and high chair, the therapist can observe the child's typical eating behaviors and challenges accurately. This provides valuable insights that help in tailoring appropriate interventions to address feeding issues effectively.