what is the primary objective of care for the child with minimal change nephrotic syndrome mcns
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Nursing Elites

ATI RN

RN Nursing Care of Children 2019 With NGN

1. What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?

Correct answer: C

Rationale: The primary objective in managing MCNS is to minimize the excretion of urinary protein, which is responsible for the hypoalbuminemia and subsequent edema in these patients.

2. Congenital defects of the genitourinary tract, such as hypospadias, are usually repaired as early as possible to accomplish what?

Correct answer: D

Rationale: Early repair of congenital genitourinary defects like hypospadias is important to promote a normal body image and avoid psychological issues as the child grows. It also helps prevent urinary complications and allows for normal development.

3. What organism is a parasite that causes acute diarrhea?

Correct answer: C

Rationale: Giardia lamblia is a protozoan parasite known to cause acute diarrhea, often through contaminated water or food. Shigella, Salmonella, and E. coli are bacterial pathogens that also cause diarrhea but are not parasites.

4. The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates a need for further teaching?

Correct answer: D

Rationale: Standard precautions are necessary when dealing with blood, body fluids, and potentially infectious materials. They are not required for routine administration of oral medications unless there is a potential exposure risk.

5. What is the appropriate site to administer an intramuscular (IM) vaccine to a newborn?

Correct answer: B

Rationale: The correct site to administer an intramuscular (IM) vaccine to a newborn is the vastus lateralis muscle. For newborns, the vastus lateralis is preferred over the dorsogluteal site because the dorsogluteal site has been associated with low antibody seroconversion rates, indicating a reduced immune response. The vastus lateralis is also recommended for IM injections in newborns, while the deltoid muscle is preferred for older infants and children. The ventral gluteal muscle and the biceps muscle are not appropriate sites for IM injections. Therefore, choice B is the correct answer.

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