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. The primary purpose of pancreatic enzymes is to aid digestion, not to improve metabolism.
B. Pancreatic enzymes are used to help digest fats, proteins, and carbohydrates, which is essential for children with cystic fibrosis who have pancreatic insufficiency.
C. Enzymes should be taken with meals and snacks, not before them.
D. Enzymes should be taken with or just before meals to ensure they work effectively during digestion.