A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?
Poor appetite
Facial edema
Yellow nasal discharge
Irritability
The Correct Answer is B
A. Poor appetite: Poor appetite is a common symptom in nephrotic syndrome but is not immediately life-threatening or an urgent concern.
B. Facial edema: This can indicate worsening fluid retention or disease progression, requiring immediate evaluation and possible adjustment in treatment.
C. Yellow nasal discharge: This likely indicates a mild upper respiratory infection, which is not directly related to nephrotic syndrome.
D. Irritability: Irritability is non-specific and can occur in various pediatric illnesses but is not an urgent manifestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Polyuria: Nephrotic syndrome typically causes oliguria, not polyuria.
B. Periorbital edema: Fluid retention due to hypoalbuminemia commonly manifests as periorbital edema, especially in the morning.
C. Orange-tinged urine. This is not a characteristic of nephrotic syndrome. Urine may appear foamy due to proteinuria.
D. Hypertension: While hypertension can occur in some renal disorders, it is not a primary feature of nephrotic syndrome, which is characterized by edema, hypoalbuminemia, and proteinuria.
Correct Answer is C
Explanation
A. Low-protein, low-potassium diet: Protein restriction is not typically required unless severe renal dysfunction exists. Potassium restriction is not necessary with normal output and levels.
B. Low-carbohydrate, low-protein diet: There is no need to restrict carbohydrates.
C. Regular diet, no added salt: Sodium restriction helps manage edema without imposing unnecessary dietary limitations.
D. Low-sodium, fluid-restricted diet: Fluid restriction is not typically required unless there is severe oliguria or fluid overload.
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