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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
A. Digitalis toxicity can occur in children receiving digoxin, especially if there are electrolyte imbalances or if the dose is too high. Symptoms of toxicity include nausea, vomiting, and arrhythmias.
C. Hypokalemia is a common side effect of diuretics like furosemide. Low potassium levels increase the risk of digoxin toxicity, which is critical to monitor in this child’s care.
Correct Answer is B
Explanation
A. The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B. Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C. Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D. While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.
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