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.
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Related Questions
Correct Answer is D
Explanation
A. 15 mL: 15 mL is far too high for the volume corresponding to 1 gram of diaper weight.
B. 30 mL: 30 mL is too large of a conversion for 1 gram of diaper weight.
C. 5 mL: 5 mL is too large for the standard conversion of 1 gram of diaper weight to urine volume.
D. 1ml:Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Correct Answer is A
Explanation
A. Increased respiratory rate: Dehydration can cause compensatory tachypnea to offset metabolic acidosis.
B. Increased platelet count: Dehydration typically affects fluid balance but does not directly increase platelet count.
C. Decreased hematocrit: Dehydration often causes hemoconcentration, leading to an increased hematocrit.
D. Decreased heart rate: Dehydration usually causes tachycardia, not bradycardia.
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