A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?
Improvement in neurologic function
Weight gain
Absence of protein in urine sampling
Negative gram stain via urine culture
The Correct Answer is C
A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.
B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.
C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.
D. A negative gram stain is more relevant to infections, not nephrotic syndrome.
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Related Questions
Correct Answer is C
Explanation
A. Restricting fiber is not necessary; instead, administering vitamin C with iron can enhance absorption.
B. Iron supplements can cause dark stools, but not blood in the stools. Blood in the stools requires further investigation.
C. Routine monitoring of blood counts is crucial to assess the effectiveness of the iron supplementation and to adjust the dosage as needed.
D. Iron supplements are better absorbed on an empty stomach; taking them with meals can reduce their absorption.
Correct Answer is B
Explanation
. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.
B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.
C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.
D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.
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