A nurse is assessing a child who has nephrotic syndrome. The nurse should expect which of the following findings?

Edema with normal or low BP

Edema with hypertension

Unexpected weight loss

Frequency and urgency

Answer and Explanation

The Correct Answer is A

A.   Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B.   Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C.   Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D.   Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.

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Correct Answer is ["A","C","D"]

Explanation

A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure

A. Manages nausea and vomiting B. Eliminates excess iron C. Decreases the risk of hypoxia D. Treats the disease

Correct Answer is B

Explanation

A. Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B. Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C. Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D. Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.

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A nurse is assessing a child who has nephrotic syndrome. The nurse should expect which of the following findings?

Nursing Test Bank

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