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 B
Explanation
A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.
Correct Answer is B
Explanation
A. "I am hungry and thirsty.": Hunger and thirst are not concerning and may occur after fasting or due to nausea resolution.
B. "My belly doesn't hurt anymore.": A sudden decrease in abdominal pain may indicate rupture of the appendix, leading to peritonitis—a life-threatening emergency.
C. "I am scared and I want to go home.": This is a common emotional response in children facing surgery and not indicative of a medical emergency.
D. "I'm tired and want to take a nap.": Fatigue could result from illness but is less concerning than the potential for appendiceal rupture.
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