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A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

A.

Facial edema

B.

Irritability

C.

Poor appetite

D.

Yellow nasal discharge

Answer and Explanation

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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View Related questions

Correct Answer is A

Explanation

Rationale:

A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.

B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.

C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.

D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.

Correct Answer is A

Explanation

Rationale:

A. Acetaminophen is appropriate for managing mild discomfort post-procedure.

B. Tub baths are generally avoided for the first few days to prevent infection at the catheterization site; sponge baths are preferred.

C. Keeping the child home for 1 week might be excessive; follow the healthcare provider's specific instructions regarding activity and school return.

D. Clear liquids are typically offered as tolerated, but the primary concern post-procedure is monitoring the insertion site and ensuring the child rests adequately.

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