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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 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.

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.

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