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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Ribbonlike, foul-smelling stools. This is a classic symptom of Hirschsprung disease due to chronic constipation and obstruction from the absence of ganglion cells in the rectum.
B. Projectile vomiting. Projectile vomiting is associated with pyloric stenosis, not Hirschsprung disease.
C. Chronic hunger. This is also indicative of pyloric stenosis rather than Hirschsprung disease.
D. Ridged abdomen. While abdominal distension may occur, a ridged abdomen is not specific to Hirschsprung disease.

A. Respiratory rate 24/min> B. Urine specific gravity 1.015 C. Heart rate 130/min D. Capillary refill greater than 3 seconds

Correct Answer is B

Explanation

A. Respiratory rate 24/min: While a normal respiratory rate is positive, it is not a primary marker of hydration status.
B. Urine specific gravity 1.015: A normal urine specific gravity indicates adequate hydration.
C. Heart rate 130/min: Tachycardia indicates ongoing dehydration or stress.
D. Capillary refill greater than 3 seconds: Prolonged capillary refill suggests inadequate perfusion and continued dehydration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?

Correct Answer is B

Explanation

A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?

A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

A nurse is reinforcing instructions with the parent of a toddler about foods that are included on a clear liquid diet. Which of the following foods suggested by the parent indicates understanding of the instructions?

An antidiuretic hormone used to treat Enuresis by reducing the volume of urine in the bladder is named?

The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?