A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Yellow nasal discharge.
Poor appetite.
Facial edema.
Irritability.
The Correct Answer is C
The correct answer is choice C.
Choice A rationale:
Yellow nasal discharge is typically associated with respiratory infections or allergies and is not a symptom of nephrotic syndrome.
Choice B rationale:
Poor appetite can be a nonspecific symptom and may be seen in various conditions, including nephrotic syndrome. However, it is not a primary indicator.
Choice C rationale:
Facial edema is a hallmark sign of nephrotic syndrome. This condition is characterized by significant swelling, particularly around the eyes and face, due to fluid retention caused by low levels of albumin in the blood.
Choice D rationale:
Irritability can be a symptom of many conditions and is not specifically indicative of nephrotic syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.
Correct Answer is D
Explanation
Individuals with spina bifida who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal bifida may need to use bowel management techniques such as suppositories to help regulate bowel movements.
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