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 D
Explanation
Rationale:
A. Temper tantrums are not classified as a learning disability; they are a normal part of toddler development.
B. A psychological consult is not necessary unless tantrums are severe or persistent and interfere significantly with the child's functioning or development.
C. Leaving the room during a tantrum may not be advisable; it is better to stay calm and ensure the child's safety while they express their frustration.
D. Temper tantrums are a normal developmental phase where toddlers express frustration and attempt to gain control of their environment. Understanding this helps parents manage tantrums effectively and respond appropriately.
Correct Answer is C
Explanation
Rationale:
A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.
B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.
C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.
D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.