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. Genetics plays the most significant role in a child’s growth and development, determining many physical and psychological traits. However, it cannot be altered.
B. Socialization impacts development, but it is influenced by environmental factors and can be guided by caregivers.
C. The environment affects development, but it can be modified to support growth.
D. The family is crucial in a child's development, but its influence can also be shaped through intervention and support.
Correct Answer is A
Explanation
Rationale:
A. Projectile vomiting is a classic sign of pyloric stenosis due to the obstruction of the pylorus, which prevents normal stomach emptying.
B. A ridged abdomen is not specific to pyloric stenosis; it may indicate other abdominal issues.
C. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
D. Distended neck veins are typically associated with right-sided heart failure or fluid overload, not pyloric stenosis.