How many mL of urine output should the nurse document for an infant's wet diaper weight of 85 grams compared to the dry diaper weight of 50 grams? (Enter numeric value only.)

Rationale:

A. Reduction of fever: Albumin administration does not treat fever. Fever may indicate infection, which is a concern in children with nephrotic syndrome, but it is not an expected effect of albumin therapy.

B. Reduction of edema: Albumin 25% IV increases plasma oncotic pressure, drawing fluid from the interstitial spaces back into the intravascular compartment. A decrease in edema demonstrates that the medication is effectively restoring fluid balance.

C. Improved caloric intake: While improved nutrition supports overall health, albumin therapy does not directly influence the child’s appetite or caloric intake. Nutritional status should be monitored separately.

D. Weight gain: Weight gain in nephrotic syndrome may indicate fluid retention rather than therapeutic effect. The desired outcome of albumin therapy is fluid mobilization and reduction of edema, not increased weight.

Rationale:

A. Document the finding in the infant's record: Documentation is necessary for all assessment findings, but an irregular heart rate in a newborn may indicate a potentially serious cardiac issue. Simply recording it without notifying the healthcare provider could delay critical evaluation or intervention.

B. Teach the parents about congenital heart defects: Parental education is important, but it is not the immediate priority when a newborn has an irregular heart rate. Immediate assessment and guidance from a healthcare provider take precedence over education.

C. Apply oxygen per nasal cannula at 3 L/min: Administering oxygen is only indicated if the infant shows signs of hypoxia or respiratory distress. An irregular heart rate alone does not automatically require supplemental oxygen without further assessment.

D. Notify the pediatrician immediately: Immediate notification of the pediatrician is essential because an irregular heart rate may signal arrhythmias, congenital heart defects, or other serious cardiac conditions. Prompt evaluation ensures timely intervention to prevent complications.