A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

Improvement in neurologic function

Weight gain

Absence of protein in urine sampling

Negative gram stain via urine culture

Answer and Explanation

The Correct Answer is C

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

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Correct Answer is D

Explanation

A. Bronchiolitis usually presents with wheezing and difficulty breathing, not drooling or inability to cough.

B. Asthma typically presents with wheezing, shortness of breath, and coughing, but not with drooling or an inability to cough.

C. Nasopharyngitis, or the common cold, usually causes symptoms like runny nose, cough, and sore throat, but not drooling or agitation.

D. Bacterial epiglottitis is a life-threatening condition characterized by drooling, agitation, inability to cough, and potential airway obstruction. The child often appears anxious and sits leaning forward in a "tripod" position.

A. Polyuria B. Difficulty feeding C. Bradycardia D. Bradypnea

Correct Answer is B

Explanation

A. Polyuria is not commonly associated with heart failure in infants; they are more likely to have oliguria or reduced urine output.

B. Difficulty feeding is a common sign of heart failure in infants because the increased work of breathing and poor cardiac output make it hard for them to feed effectively.

C. Bradycardia is not typically associated with heart failure; tachycardia is more common as the heart tries to compensate for decreased cardiac output.

D. Bradypnea is uncommon in heart failure; tachypnea is a more likely symptom due to fluid overload and poor oxygenation.

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A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

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Naxlex Comprehensive Predictor Exams

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