A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?
Orange-tinged urine
Hypertension
Periorbital edema
Polyuria
The Correct Answer is C
A. Orange-tinged urine
- This manifestation is not typically associated with nephrotic syndrome. Orange-tinged urine may indicate other conditions such as dehydration, liver disease, or the presence of certain medications or foods.
B. Hypertension
- Hypertension is not a common manifestation of nephrotic syndrome. However, it can occur in some cases due to the retention of sodium and water, which can lead to fluid overload and increased blood pressure.
C. Periorbital edema
- This is a classic manifestation of nephrotic syndrome. Periorbital edema, or swelling around the eyes, is often one of the initial signs observed in children with nephrotic syndrome due to the loss of protein in the urine, leading to fluid accumulation in the tissues.
D. Polyuria
- Polyuria, or increased urine output, is not typically associated with nephrotic syndrome. Instead, children with nephrotic syndrome may experience oliguria or normal urine output, depending on the severity of renal involvement and fluid balance.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. No treatment is necessary, the fluid is reabsorbing normally:
- This option suggests that the hydrocele is resolving spontaneously, which is often the case in infants. The physician may choose to observe the hydrocele over time as it is likely to resolve without intervention.
B. Keeping the infant in a flat, supine position until the fluid is gone:
- This option does not address the underlying cause of the hydrocele and is not a standard treatment recommendation. Additionally, positioning changes are unlikely to affect the resolution of the hydrocele.
C. Referral to a surgeon for repair:
- Surgical repair may be considered if the hydrocele persists beyond a certain age or if it causes discomfort or complications. However, it is typically not recommended in infants unless the hydrocele persists beyond infancy or causes other issues.
D. Massaging the groin area twice a day until the fluid is gone:
- Massaging the groin area is not a recommended treatment for hydrocele and may not be effective in resolving the condition. Additionally, manipulating the scrotum may cause discomfort or injury to the infant.
Correct Answer is D
Explanation
A. Patches of baldness: Patches of baldness on the scalp could be indicative of conditions like alopecia areata, a disorder characterized by hair loss in patches. However, it is not a typical manifestation of pediculosis capitis, which primarily presents with scalp itchiness due to lice bites rather than hair loss.
B. Blisters on the scalp: Blisters on the scalp may suggest other conditions such as herpes simplex infection or contact dermatitis. While scratching from head lice infestation could lead to skin irritation, blisters are not a common presentation of pediculosis capitis.
C. Dry patches on the scalp: Dry patches on the scalp might be caused by conditions like seborrheic dermatitis or eczema. While scalp dryness can occur with pediculosis capitis due to irritation from scratching, it is not a specific symptom associated with head lice infestation.
D. Reports of scalp itchiness: Scalp itchiness is a hallmark symptom of pediculosis capitis. It occurs as a result of lice bites and the body's inflammatory response to their saliva. It is the most characteristic and common manifestation of head lice infestation and often prompts further examination for the presence of lice or their eggs (nits).
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