The nurse suspects the 4-year-old client is having a recurrence of minimal change nephrotic syndrome (MCNS). Which signs or symptoms would the nurse observe in the client?

Proteinuria

Hypocalcemia

Hypoalbuminemia

Positive for Ketones

Answer and Explanation

The Correct Answer is A

The signs or symptoms the nurse would observe in a 4-year-old client experiencing a recurrence of minimal change nephrotic syndrome (MCNS) include:

MCNS is characterized by increased glomerular permeability, leading to the loss of protein, particularly albumin, in the urine. Proteinuria is a hallmark feature of MCNS and is usually detected through urine testing.
Due to the excessive loss of protein in the urine, particularly albumin, the client with MCNS may have low levels of albumin in the blood. Hypoalbuminemia can result in various complications, such as edema formation and impaired immune function. However this is not a sign or symptom.
Edema is a common symptom of MCNS and typically presents as swelling in the face, around the eyes, and in the extremities. This is a result of the fluid shifts and fluid retention caused by the altered glomerular function and hypoalbuminemia.

Hypocalcemia and ketones in the urine are not typically associated with MCNS. Hypocalcemia can occur in some types of kidney disease, but it is not a characteristic feature of MCNS. Ketones in the urine are more commonly associated with conditions like diabetic ketoacidosis or inadequate carbohydrate intake.

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Correct Answer is ["1.4"]

Explanation

We know that 7,000 units is equivalent to 5,000 units per ml. So, we can set up the proportion:

7,000 units / 5,000 units per ml = x ml / 1 ml x = 7,000 / 5,000

x = 1.4

Therefore, the nurse should administer 1.4 milliliters (ml) of heparin.

A. Urine output 200 mL over the last 4 hours. B. Decreasing serum albumin levels. C. Weight gain of 0.75 kg in the last 2 days. D. Sodium (Na) level 128 mEq/L.

Correct Answer is C

Explanation

Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.

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The nurse suspects the 4-year-old client is having a recurrence of minimal change nephrotic syndrome (MCNS). Which signs or symptoms would the nurse observe in the client?

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Naxlex Comprehensive Predictor Exams

Heparin 7,000 units is ordered. Heparin 5,000 units per ml is available. How many milliliters (ml) should the nurse administer? (Do not round)

Correct Answer is ["1.4"]

Explanation

A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Correct Answer is C

Explanation

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