A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Odorless urine
No report of pain with voiding
Urine output 256 mL over 8 hr
Temperature 37.2° C (99° F)
The Correct Answer is C
Rationale:
A. Odorless urine may be an indicator of improved hydration status but does not directly reflect the effectiveness of treatment for nephrotic syndrome.
B. Absence of pain with voiding may indicate resolution of urinary tract symptoms but is not a specific indicator of treatment effectiveness for nephrotic syndrome.
C. Increased urine output indicates improved renal function, which is a primary goal of treatment for nephrotic syndrome, making this the most appropriate indicator of treatment effectiveness.
D. Temperature within normal range is not a direct indicator of treatment effectiveness for nephrotic syndrome.
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Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
A. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.
B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. The presence of fever and lethargy in the child, along with the history of decreased appetite, raises concerns for a urinary tract infection that could lead to renal scarring if left untreated.
C. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler.
D. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis.
E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. The fever and lethargy reported by the parent, along with the urine sample obtained, suggest a concern for pyelonephritis.
Correct Answer is A
Explanation
Rationale:
A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection.
B. Acyclovir is used to treat viral infections such as herpes simplex virus, not bacterial infections like impetigo.
C. Soaking hairbrushes in boiling water is not necessary for treating impetigo.
D. Soft toys do not need to be sealed in a plastic bag for treating impetigo.
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