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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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Placing the child in an upright position helps keep the airway open and can ease breathing difficulties associated with epiglottitis.
B. Obtaining a throat culture can be dangerous in suspected epiglottitis due to the risk of airway obstruction; management should focus on stabilization.
C. Transporting the child to radiology may further compromise the airway and should be avoided unless absolutely necessary.
D. Visualizing the epiglottis with a tongue depressor can trigger airway obstruction and should be avoided in suspected epiglottitis.
Correct Answer is B
Explanation
Rationale:
A. Nausea and vomiting are more commonly associated with hyperglycemia, not hypoglycemia.
B. Shakiness is a common symptom of hypoglycemia, indicating that the parents understand the signs of low blood glucose levels.
C. The onset of hypoglycemia is typically rapid, not slow, which is why quick intervention is necessary.
D. Sweating is a common symptom of hypoglycemia, not hyperglycemia.