A nurse is caring for a 5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings suggests that the management has been effective?
Temperature 37.2° C (99° F)
Urine output 256 mL over 8 hr
No report of pain with voiding
Odorless urine
The Correct Answer is B
A. A temperature of 37.2°C (99°F) is slightly elevated but not a major concern post-surgery.
B. Urine output 256 mL over 8 hr: In a child with nephrotic syndrome, adequate urine output is crucial. For a child weighing 12 kg, an output of around 30 mL/hr (or 240 mL over 8 hours) is considered normal. 256 mL over 8 hr indicates adequate urine production
C. No pain with voiding is a positive sign but doesn't necessarily indicate overall effectiveness of treatment for nephrotic syndrome.
D. Odourless urine is a normal finding and not necessarily an indicator of treatment success.
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Related Questions
Correct Answer is C
Explanation
A. Tremors: Tremors can be a sign of hypoglycaemia (low blood sugar), not typically hyperglycaemia.
B. Pallor: Pallor can be a general sign of illness and may not be specific to hyperglycaemia.
C. Thirst: Hyperglycaemia (high blood sugar) causes the body to lose fluids through urine excretion. This can lead to dehydration and thirst as the body tries to compensate by pulling fluid from cells
D. Sweating: Sweating can occur with both hyperglycaemia and hypoglycaemia, so it's not a specific indicator.
Correct Answer is B
Explanation
A. Weight loss of 5%: A 5% weight loss is typically indicative of mild to moderate dehydration, not severe.
B. Sunken anterior fontanelle: A sunken anterior fontanel is a sign of severe dehydration in infants as it indicates significant fluid loss.
C. Produces tears when crying: Producing tears is a sign of adequate hydration. Absence of tears would be more concerning for dehydration.
D. Capillary refill time 3 seconds: A capillary refill time of 3 seconds is at the upper limit of normal for infants. In severe dehydration, capillary refill time would typically be longer than 3 seconds.
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