/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 441 A child is admitted with marked ... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 34: Problem 441

A child is admitted with marked edema and frothy urine. Lab tests showed proteinuria and decreased serum albumin and globulin. Which is an appropriate diet for this child? A. Low protein, high calorie B. High protein, no added salt C. High calorie, low sodium D. High protein, low calorie

Short Answer

Expert verified
C. High calorie, low sodium

Step by step solution

01

- Understanding the Symptoms

The child presents with marked edema (swelling) and frothy urine, which are signs of excessive protein loss in the urine (proteinuria). The lab tests also show decreased serum albumin and globulin, which are proteins found in the blood. These symptoms are suggestive of nephrotic syndrome.
02

- Identifying Nutritional Needs

In nephrotic syndrome, the primary concern is to manage the body's protein levels and to reduce the workload on the kidneys. High protein diets can exacerbate kidney issues, while low protein can help reduce the amount of protein lost in urine.
03

- Selecting Appropriate Calories and Sodium

A high calorie diet can help meet the energy needs without relying too much on proteins, while low sodium is important to manage edema.
04

- Analyzing Diet Options

Option A suggests low protein and high calorie, which partially meets some of the child鈥檚 needs but lacks consideration for sodium. Option B suggests high protein, no added salt, which could worsen the kidney condition. Option C suggests high calorie and low sodium, which covers the caloric needs and helps manage edema without overloading the kidneys with protein. Option D suggests high protein and low calorie, which is not suitable for a child in need of energy and with proteinuria.
05

- Choosing the Best Option

Based on the analysis, the most suitable diet is high calorie and low sodium to manage the child鈥檚 edema and provide adequate energy without exacerbating the kidney condition.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Child Edema Management
Managing edema, or swelling, in children with nephrotic syndrome is crucial. Swelling occurs because of fluid buildup as the kidneys leak protein into the urine. To reduce this buildup, the first step is to limit sodium intake. Too much sodium can cause the body to retain water, worsening the swelling.
Another approach is to use diuretics, which help the body excrete excess fluid. However, these need to be prescribed and monitored by a healthcare provider.
Ensuring the child remains active, as much as their condition allows, can also help manage edema.
Low Sodium Diet
A low sodium diet is essential for children with nephrotic syndrome. Sodium can increase fluid retention, making edema worse. To minimize sodium intake:
  • Avoid processed foods, which often contain high sodium levels. Examples include canned soups, processed meats, and fast food.
  • Read nutritional labels to check for sodium content in packaged foods.
  • Cook meals from scratch using fresh ingredients to control the sodium added.
  • Use herbs and spices instead of salt to flavor food.
These steps will help manage edema and have a positive overall impact on kidney health.
Proteinuria Treatment
Proteinuria, the excessive loss of protein in urine, is a defining feature of nephrotic syndrome. Treating proteinuria involves reducing protein loss and protecting kidney function.
A low protein diet can help to reduce the kidneys' workload. However, it must be balanced with the child's need for growth and healing.
Medications like ACE inhibitors or ARBs may be prescribed to reduce protein loss. Regular monitoring by healthcare providers is crucial.
Nephrotic Syndrome Nutrition
Nutrition plays a key role in managing nephrotic syndrome. The goals are to provide adequate calories and nutrients while protecting the kidneys.
Focus on a diet:
  • High in calories to meet energy needs, especially since protein intake may be restricted.
  • Low in sodium to manage edema.
  • Balanced in fats to support overall health but avoid excessive saturated fats.
  • Rich in fruits, vegetables, and whole grains for overall health benefits.
These dietary adjustments help manage symptoms and support overall health.
High Calorie Diet
A high calorie diet is important for children with nephrotic syndrome, especially when protein intake is limited. Adequate calories support growth, healing, and energy needs.
Here鈥檚 how to incorporate a high-calorie diet:
  • Include healthy fats like avocados, nuts, and seeds.
  • Choose nutrient-dense foods such as whole grains, lean meats, and dairy products.
  • Incorporate calorie-dense additives like olive oil or butter into meals.
Adjusting the diet to be high in calories helps meet the child's energy requirements while providing balanced nutrition.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

Due to a severe asthma attack, a client has been on corticosteroids for more than 2 weeks. Which information should the nurse give the client about when the time comes to stop the medication? A. Fluid intake will need to be limited. B. The dose of medication will be tapered down slowly. C. Extra calcium will be needed for a week to ten days, D. Vitamin supplements will be needed to prevent bone loss.

Mr. Clark, a 77-year-old, was admitted with a CVA 3 days ago. This is the first time you have been assigned to care for the gentleman. You carry out an assessment of Mr. Clark鈥檚 mobility level and ability to participate in activities of daily living. You identify a nursing diagno- sis of Impaired Mobility related to Hemiplegia and Weakness. Select all the nursing interventions that would be appropriate for the nursing diagnosis. A. ___ Change Mr. Clark鈥檚 position every 2 hours, maintaining sound body alignment. B. ___ Use appropriate supportive devices to assist in maintaining correct positioning. C. ___ Teach client and his family correct positioning. D. ___ Prepare Mr. Clark for bed based on his usual bedtime patterns prior to the stroke.

The nurse is caring for a client with Alzheimer鈥檚 disease (AD), the most common form of dementia in older adults. Which factors are associated with AD? Select all that apply: A. Acute onset B. Impaired memory C. Confusion D. Difficulties with language E. Reversible organic disorder F. Amyloid plaques

A 13-month-old child is to receive an oral medication. The child starts crying as soon as the nurse enters the room with the medication despite the fact that his mother is telling him a story. After checking the child's identification bracelet, how should the nurse proceed with administering the medication? A. Blow gently across his face with a soft whistling sound to stop the crying. B. Allow the mother to administer the medication. C. Delay giving the medication until the child is calmer. D. Hold the child on his or her lap in a semi-Fowler's position.

Which is the basic type of diet that the nurse would obtain for a client with celiac disease? A. Fat free B. Gluten free C. Lactose free D. Low sodium The answer is B. Clients with celiac disease are unable to break down gluten, which is a protein. These clients are treated with a gluten-free diet. This diet excludes products containing wheat, rye, oats and barley since these grains contain gluten.
See all solutions

Recommended explanations on Biology Textbooks

Ecosystems

Read Explanation

Microbiology

Read Explanation

Energy Transfers

Read Explanation

Cell Communication

Read Explanation

Control of Gene Expression

Read Explanation

Responding to Change

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.