A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?
Poor appetite
Facial edema
Yellow nasal discharge
Irritability
The Correct Answer is B
A. Poor appetite: Poor appetite is a common symptom in nephrotic syndrome but is not immediately life-threatening or an urgent concern.
B. Facial edema: This can indicate worsening fluid retention or disease progression, requiring immediate evaluation and possible adjustment in treatment.
C. Yellow nasal discharge: This likely indicates a mild upper respiratory infection, which is not directly related to nephrotic syndrome.
D. Irritability: Irritability is non-specific and can occur in various pediatric illnesses but is not an urgent manifestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sodium 142 mEq/L: This is within the normal range for sodium (135–145 mEq/L) and does not indicate an immediate threat.
B. Potassium 2.5 mEq/L: This is critically low (normal range is 3.5–5.0 mEq/L), and hypokalemia can cause life-threatening cardiac arrhythmias.
C. Urine specific gravity 1.025: Although elevated, it is not as critical as severe hypokalemia.
D. Blood glucose 110 mg/dL: This is a normal glucose level and not a priority.
Correct Answer is A
Explanation
A. Gelatin: Gelatin is a clear liquid when prepared and is acceptable for a clear liquid diet.
B. Strained soup: Strained soups are not considered clear liquids as they may contain solids or fats.
C. Yogurt: Yogurt is not a clear liquid; it is part of a full liquid diet.
D. Pureed fruit: Pureed fruit is not clear and is unsuitable for this diet.
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