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","B","C"]
Explanation
Rationale:
A. Removing objects from the bed is necessary to prevent injury during the seizure.
B. Placing the client in a side-lying position helps to maintain an open airway and reduces the risk of aspiration.
C. Assessing airway patency is crucial to ensure the client can breathe adequately during and after the seizure.
D. Placing a tongue depressor or any object in the client's mouth is contraindicated, as it can cause injury or obstruct the airway.
E. Restraining the client is also contraindicated because it can cause harm or increase agitation during a seizure.
Correct Answer is D
Explanation
Rationale:
A. A low-protein diet may be appropriate for chronic conditions but is not specifically indicated for acute glomerulonephritis with edema.
B. A regular diet with no added salt might not be sufficient for managing acute glomerulonephritis, especially with significant edema and reduced urine output.
C. A low-carbohydrate, low-protein diet is not specifically indicated for managing acute glomerulonephritis.
D. A low-sodium, fluid-restricted diet is important in managing edema and fluid retention associated with acute glomerulonephritis.