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 C
Explanation
Rationale:
A. Distended neck veins are not associated with pyloric stenosis.
B. A ridged abdomen is not typical of pyloric stenosis; rather, an olive-shaped mass may be palpated in the right upper quadrant.
C. Projectile vomiting is a hallmark sign of pyloric stenosis due to the obstruction at the pylorus, preventing food from passing into the small intestine.
D. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
Correct Answer is C
Explanation
Rationale:
A. Wrist restraints might not be appropriate for a very young infant as they may not adequately prevent the infant from reaching the mouth.
B. Jacket restraints are generally used for older children and are not appropriate for very young infants.
C. Elbow restraints are typically used for infants following oral surgeries to prevent them from putting their hands to their mouth, which is important in the case of cleft lip and palate repairs.
D. Mummy restraints are more commonly used for procedural immobilization rather than for postoperative care.