A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Odorless urine
No report of pain with voiding
Urine output 256 mL over 8 hr
Temperature 37.2° C (99° F)
The Correct Answer is C
Rationale:
A. Odorless urine may be an indicator of improved hydration status but does not directly reflect the effectiveness of treatment for nephrotic syndrome.
B. Absence of pain with voiding may indicate resolution of urinary tract symptoms but is not a specific indicator of treatment effectiveness for nephrotic syndrome.
C. Increased urine output indicates improved renal function, which is a primary goal of treatment for nephrotic syndrome, making this the most appropriate indicator of treatment effectiveness.
D. Temperature within normal range is not a direct indicator of treatment effectiveness for nephrotic syndrome.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Balance when standing with eyes closed is primarily related to the vestibulocochlear nerve (cranial nerve VIII), not the trigeminal nerve.
B. The gag reflex is primarily mediated by the glossopharyngeal nerve (cranial nerve IX), not the trigeminal nerve.
C. Identifying specific scents is related to olfaction, which is primarily mediated by the olfactory nerve (cranial nerve I), not the trigeminal nerve.
D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve.
Correct Answer is B
Explanation
Rationale:
A. Capillary refill time of 3 seconds is within the normal range (less than 3 seconds) and does not indicate severe dehydration.
B. A sunken anterior fontanel is a significant sign of dehydration in infants and suggests severe dehydration.
C. While a weight loss of 5% can indicate dehydration, it may not necessarily represent severe dehydration. The extent of dehydration is better assessed by clinical signs such as fontanel status, skin turgor, and mucous membrane moisture.
D. Producing tears when crying is a reassuring sign and suggests adequate hydration, so it does not indicate severe dehydration.
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