The practical nurse (PN) is caring for a toddler during a follow-up visit after corticosteroid treatment for minimal change nephrotic syndrome (MCNS). Which finding should the PN recognize as an early sign of relapse?

Increased thirst.

Tachypnea.

Albuminuria.

Rounded face.

Answer and Explanation

The Correct Answer is C

Albuminuria, or the presence of albumin in the urine, is an early sign of relapse in a toddler with minimal change nephrotic syndrome (MCNS) who has been treated with corticosteroids. MCNS is a kidney disorder that can cause the body to excrete too much protein in the urine, leading to albuminuria. The practical nurse should recognize this finding as an early sign of relapse and take appropriate action to manage the child's condition.

The other answers are incorrect because they are not directly related to the early signs of relapse in a toddler with minimal change nephrotic syndrome (MCNS) who has been treated with corticosteroids.

Increased thirst is not a known early sign of relapse in MCNS.
Tachypnea, or rapid breathing, is not a known early sign of relapse in MCNS.
A rounded face can be a side eﬀect of corticosteroid treatment, but it is not an early sign of relapse in MCNS.

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Correct Answer is C

Explanation

The PN should provide the information that it may be helpful to **try withholding ﬂuids after supper and before bedtime**. Bedwetting is common and often runs in families. It can be upsetting, but most children and young people will grow out of it³. It’s not unusual for kids to wet the bed at night. Known formally as pediatric enuresis, uncontrolled nighttime urination aﬀects as many as 5% to 10% of 7-year-olds in the United States.

A. Delay administration of nighttime medications until after visitors have left. B. Administer a prescribed PRN benzodiazepine at the onset of a confused state. C. Make certain that the client's assigned room is close to the nurses' station. D. Ask family members about how they dealt with the client in the evening.

Correct Answer is C

Explanation

Restlessness, confusion, and agitation are common symptoms of dementia, particularly in the evening, a phenomenon known as sundowning. Therefore, the PN should implement interventions that can help to prevent or minimize these symptoms. Assigning the client to a room close to the nurses' station can help to provide constant observation and reassurance and can help to prevent the client from wandering or becoming disoriented.
A. Delaying administration of nighttime medications until after visitors have left may be appropriate, but it is not the first intervention to be implemented in this scenario.
B. Administering a prescribed PRN benzodiazepine at the onset of a confused state may be appropriate in some cases, but it should not be the first intervention to be implemented in this scenario.
D. Asking family members about how they dealt with the client in the evening may be helpful, but it is not the first intervention to be implemented in this scenario.

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The practical nurse (PN) is caring for a toddler during a follow-up visit after corticosteroid treatment for minimal change nephrotic syndrome (MCNS). Which finding should the PN recognize as an early sign of relapse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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