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 C
Explanation
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Correct Answer is D
Explanation
A. Feed the infant half-strength formula for the first 48 hr: Feeding guidelines do not typically require diluted formula unless directed by the surgeon.
B. Remove elbow restraints while the infant is sleeping: Elbow restraints should remain in place to prevent the infant from touching the surgical site, even during sleep.
C. Administer pain medication PRN for the first 48 hr: Pain medication should be administered on a regular schedule initially to control pain effectively.
D. Keep the infant in a side-lying position: This position helps protect the surgical site and minimizes the risk of aspiration.
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