A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Facial edema
Irritability
Poor appetite
Yellow nasal discharge
The Correct Answer is D
Rationale:
A. Facial edema is a common finding in nephrotic syndrome due to hypoalbuminemia and fluid retention.
B. Irritability can occur due to discomfort or malaise associated with the condition but is not immediately concerning.
C. Poor appetite is a common symptom in children with nephrotic syndrome and is expected.
D. Yellow nasal discharge may indicate an infection, which is a concern in children with nephrotic syndrome because they are at increased risk for infections due to their condition and the potential use of immunosuppressive therapies.
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Correct Answer is A
Explanation
Rationale:
A. Agitation can be a sign of hypoxemia, as the body responds to low oxygen levels with restlessness and anxiety.
B. Nausea is less directly related to hypoxemia and more often associated with other conditions.
C. Hypotension is not a typical primary manifestation of hypoxemia; it is more associated with severe or advanced stages of illness.
D. Dysphagia (difficulty swallowing) is not a common symptom of hypoxemia during an asthma attack.
Correct Answer is A
Explanation
Rationale:
A. Racemic epinephrine nebulizer therapy is effective in reducing airway inflammation and aiding bronchodilation in croup.
B. While oral fluids are important for overall hydration, they do not directly address the bronchodilation needed for croup.
C. Long, slow breaths can be helpful but are not as directly effective as nebulized medications in managing croup symptoms.
D. Oral analgesics address pain but do not contribute to bronchodilation.