A 10-year-old patient has returned to her room after a surgical procedure. Which observation should take priority for nursing action?

Choice A rationale:

An adult's immune system does not prevent infection with Rotavirus. Adults can also be infected, although the severity of illness tends to be milder than in infants and young children.

Choice B rationale:

The highest rates of Rotavirus illness do occur in infants and young children. This is because young age groups have a lower level of immunity and are more susceptible to severe infections.

Choice C rationale:

The best treatment to prevent Rotavirus transmission is appropriate hand washing. Rotavirus is highly contagious and can be transmitted through contaminated hands, surfaces, and objects.

Choice D rationale:

Epidemics of Rotavirus do not specifically occur in the months from November to April. Rotavirus infections can occur throughout the year, with seasonal variation.

Choice A rationale:

Monitoring urine protein is crucial in pediatric patients with nephrotic syndrome. Nephrotic syndrome involves damage to the glomeruli in the kidneys, causing excessive protein loss in the urine, leading to hypoalbuminemia and edema.

Choice B rationale:

Urine pH is not typically a primary concern in nephrotic syndrome. This condition is more focused on proteinuria, hypoalbuminemia, and edema.

Choice C rationale:

Leukocytes in the urine may indicate a urinary tract infection (UTI), but this is not a hallmark feature of nephrotic syndrome. UTIs are not the primary concern in this scenario.

Choice D rationale:

Ketones in the urine could indicate diabetic ketoacidosis or starvation, which are not directly related to nephrotic syndrome. Ketones are not a key indicator in nephrotic syndrome assessment.