Question

When developing the plan of care for a school-age child with acute poststreptococcal glomerulonephritis who has a fluid restriction of 1,000 ml/day, which fluid should the nurse consider as most appropriate for the client's condition and effective for preventing excessive thirst?

Answer 1

The correct answer could be ice chips.
Acute post-streptococcal glomerulonephritis is a disorder affecting the kidneys and it is mainly caused by bacterial infections, such as a streptococcus skin infection. Since it is a case of kidney dysfunction, a common practice is to restrict fluid intake in patients. Ice chips are a good choice since they moisten the mouth and relieve the feeling of thirst, but at the same time, they do not result in an excessive increase of fluid intake.

Answer 2

The most important consideration for a successful outcome of this surgery is maintenance of the catheters or stents. A 12-month-old infant likes to explore his environment but must be prevented from manipulating his dressings or catheters through the use of soft restraints. Allowing the infant to become familiar with the dressings will not prevent him from pulling at them. After surgery the child is allowed limited activity, possibly with sitting in the parent's lap. A 12-month-old infant may or may not be walking. If he is, most likely he will be clumsy and possibly injure himself. Although increasing fluids is important, 2,500 mL/day is an excessive amount for a 12-month-old. Fluid requirements would be 115 mL/kg.