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A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

A.

Facial edema

B.

Irritability

C.

Poor appetite

D.

Yellow nasal discharge

Answer and Explanation

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 C

Explanation

Rationale:

A. Allowing the child to adapt to the surroundings is not as critical as monitoring for complications.

B. Informing the child about the completion of the procedure is important for emotional support but does not address immediate post-procedure care needs.

C. Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.

D. Encouraging the child to talk about the procedure is supportive but not the primary concern immediately following the procedure.

Correct Answer is D

Explanation

Rationale:

A. Seizures are not a typical complication of polycythemia, though they may occur if the condition progresses to severe levels of blood viscosity.

B. Yellowing of the skin (jaundice) is not associated with polycythemia but with liver conditions.

C. While activity is important, preventing dehydration is more critical in managing polycythemia because dehydration increases blood viscosity, exacerbating the condition.

D. Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.

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