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.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is B
Explanation
Rationale:
A. Maintaining a saline-lock is important but not the highest priority in this context.
B. Checking the child's daily weight is a priority to monitor for fluid retention and changes in fluid status, which are critical in managing acute glomerulonephritis.
C. Educating parents is important but comes after ensuring the child's immediate physical needs are addressed.
D. While a no-salt-added diet may be recommended, monitoring fluid status and weight is more urgent for assessing and managing the condition.
Correct Answer is D
Explanation
Rationale:
A. Clear drainage from the ear is more indicative of a ruptured tympanic membrane or an external ear infection (otitis externa) rather than otitis media.
B. Pain when manipulating the earlobe is associated with otitis externa, not otitis media.
C. Erythema and edema of the outer ear may occur with otitis externa but are not common in otitis media, which affects the middle ear.
D. Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.