A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL.

Which of the following findings should the nurse expect?

The correct answer is choice C.

Choice A rationale:

Yellow nasal discharge is typically associated with respiratory infections or allergies and is not a symptom of nephrotic syndrome.

Choice B rationale:

Poor appetite can be a nonspecific symptom and may be seen in various conditions, including nephrotic syndrome. However, it is not a primary indicator.

Choice C rationale:

Facial edema is a hallmark sign of nephrotic syndrome. This condition is characterized by significant swelling, particularly around the eyes and face, due to fluid retention caused by low levels of albumin in the blood.

Choice D rationale:

Irritability can be a symptom of many conditions and is not specifically indicative of nephrotic syndrome.

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.