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Nephrotic Syndrome Case Study (Peds) (45 min)

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A 4-year-old child has been admitted to the hospital with nephrotic syndrome. The little boy has ascites and swollen legs and arms. The nurse on the med-surg unit is preparing for the child and his mother and father to arrive from the Emergency Department.

Critical Thinking Check
Bloom's Taxonomy: Application

What should the nurse make sure is in this child’s room?

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The family arrives to the room and the little boy gets weighed in and measured. The first set of vital signs show hypertension, as to be expected. The nurse sets up the television and call light and asks if there are any questions. Mom asks about when her son will be able to eat because he hasn’t eaten all day.

Critical Thinking Check
Bloom's Taxonomy: Application

What is the appropriate type of meal to have as a diet order?

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The nurse checks the patient’s orders for an antihypertensive medication order to bring the blood pressure down. The eMAR shows Labetalol and a few other medications.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What other medications would the nurse expect to be ordered for this patient?

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The child has been medicated and the mother asks the nurse what the plan of care is.

Critical Thinking Check
Bloom's Taxonomy: Analysis

How will the child be monitored and how can we explain to the mother and father that the treatment plan is working?

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