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
Explanation
Rationale:
A. Coughing helps to clear mucus from the airways, and suppressing it can lead to complications such as mucus buildup and infection.
B. Antibiotics are not prescribed for viral infections like the common cold unless there is a secondary bacterial infection.
C. Ear pulling may indicate ear discomfort or infection, but it is not a typical response to nasopharyngitis alone.
D. It is normal for young children to have multiple colds per year due to their developing immune systems.
Correct Answer is C
Explanation
Rationale:
A. Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes, which requires insulin therapy.
B. Insulin should be injected into the subcutaneous tissue, typically in areas such as the abdomen or thighs, not the deltoid muscle.
C. Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.
D. Glucagon is used to treat severe hypoglycemia, not hyperglycemia. For hyperglycemia, insulin adjustments are necessary.