A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?
ACE inhibitor
Loop diuretics
Corticosteroids
NSAIDs
The Correct Answer is C
A. ACE inhibitor: ACE inhibitors are used to manage hypertension or proteinuria but are not the classification for prednisone.
B. Loop diuretics: Loop diuretics (e.g., furosemide) manage edema but are unrelated to prednisone.
C. Corticosteroids: Prednisone is a corticosteroid that reduces inflammation and suppresses the immune response, which helps decrease proteinuria in nephrotic syndrome.
D. NSAIDs: NSAIDs are anti-inflammatory but are not used for treating nephrotic syndrome as they do not reduce proteinuria or edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sodium 142 mEq/L: This is within the normal range for sodium (135–145 mEq/L) and does not indicate an immediate threat.
B. Potassium 2.5 mEq/L: This is critically low (normal range is 3.5–5.0 mEq/L), and hypokalemia can cause life-threatening cardiac arrhythmias.
C. Urine specific gravity 1.025: Although elevated, it is not as critical as severe hypokalemia.
D. Blood glucose 110 mg/dL: This is a normal glucose level and not a priority.
Correct Answer is B
Explanation
A. Poor appetite: Poor appetite is a common symptom in nephrotic syndrome but is not immediately life-threatening or an urgent concern.
B. Facial edema: This can indicate worsening fluid retention or disease progression, requiring immediate evaluation and possible adjustment in treatment.
C. Yellow nasal discharge: This likely indicates a mild upper respiratory infection, which is not directly related to nephrotic syndrome.
D. Irritability: Irritability is non-specific and can occur in various pediatric illnesses but is not an urgent manifestation.
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