A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Smokey brown urine.

Facial edema.

Hypertension.

Polyuria.

Answer and Explanation

The Correct Answer is B

Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in your urine.
Swelling around the eyes is the most common sign of nephrotic syndrome in children 2.
Choice A is incorrect because smokey brown urine is not a symptom of nephrotic syndrome.
Choice C is incorrect because hypertension (high blood pressure) is a complication of nephrotic syndrome, not a symptom.
Choice D is incorrect because polyuria (frequent urination) is not a symptom of nephrotic syndrome.

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Correct Answer is A

Explanation

Isotretinoin has been associated with depression and other psychiatric side eﬀects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.

A. Apply a light layer of talcum powder with each diaper change. B. Change to cloth diapers until the skin is healed. C. Expose the excoriated area to hot air frequently. D. Use a moisturizer to wipe urine from the skin.

Correct Answer is D

Explanation

a.Talcum powder is not recommended for use with infants because it can be inhaled, potentially causing respiratory problems. Instead, a barrier cream or ointment (such as zinc oxide or petroleum jelly) should be used to protect the skin from moisture and irritants.

b.While cloth diapers can be less irritating than some disposable diapers, they may not be as effective at keeping the skin dry. The priority is to keep the area dry and clean, regardless of the type of diaper used. Super-absorbent disposable diapers are often recommended because they can help keep the skin dry.

c.Exposing the skin to hot air can cause burns and further irritation. Instead, allowing the skin to air dry naturally (without the use of hot air) during diaper changes can be beneficial.

d.A moisturizer creates a barrier between the skin and irritants like urine and stool.Wiping with a moisturizer can minimize friction during cleaning, which can be uncomfortable for the baby and further irritate the skin.Some moisturizers can help soothe and hydrate the inflamed skin, promoting healing.

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A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

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