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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Offer chicken broth: Chicken broth is high in sodium and lacks appropriate electrolytes for rehydration.
B. Assist with starting an infusion of a hypertonic solution: Hypertonic solutions are not appropriate for rehydration and can worsen dehydration.
C. Assist with initiating oral rehydration therapy: Oral rehydration therapy is the recommended first-line treatment for dehydration caused by diarrhea.
D. Keep NPO until diarrhea stops: Keeping the child NPO can exacerbate dehydration and is not evidence-based management for diarrhea.

A. Suction the toddler nose and mouth every hour B. Give the toddler a hard-tipped sippy cup to drink liquids C. Provide soft foods for the toddler D. Maintain elbow restraints on the toddler

Correct Answer is D

Explanation

A. Suction the toddler's nose and mouth every hour: Suctioning can damage surgical sites and should be avoided.
B. Give the toddler a hard-tipped sippy cup to drink liquids: Hard-tipped sippy cups can disrupt the surgical repair. Use alternative feeding methods.
C. Provide soft foods for the toddler: The child should only receive liquids postoperatively to prevent injury to the repair.
D. Maintain elbow restraints on the toddler: Elbow restraints prevent the toddler from putting their hands in their mouth or disrupting the surgical site.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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