Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A nine-year-old child was admitted with a diagnosis of acute glomerulonephritis. She has moderate edema and mild hypertension. Which of the following nursing actions would be most appropriate at this time?
  1. Maintain a high protein diet
  2. Encourage physical activity to eliminate boredom
  3. Observe seizure precautions
  4. Obtain body weight QID
Explanation
Answer - C - The most appropriate nursing action at this time is to observe seizure precautions. The severity of the acute phase of the disease is unpredictable, therefore, a child with edema and hypertension may be subject to complications and anticipatory preparations, such as seizure precautions, are needed.
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