The nurse is caring for a child diagnosed with nephrosis. Symptoms that are characteristic of nephrosis include which of the following? (Select all that apply)

A positive antistreptolysin titer

Bacteriuria

Edema

Massive proteinuria

Answer and Explanation

Correct Answer : C,D

Choice A reason: A positive antistreptolysin titer suggests post-streptococcal glomerulonephritis, not nephrosis (minimal change disease). Nephrosis is typically idiopathic, not infection-related, and lacks streptococcal association. Edema and proteinuria are hallmark features due to hypoalbuminemia, making this an incorrect characteristic for nephrosis, as it reflects a different renal pathology.

Choice B reason: Bacteriuria indicates urinary tract infection, not a characteristic of nephrosis, which involves sterile proteinuria and hypoalbuminemia. Infections may occur as complications due to immunosuppression, but bacteriuria is not a primary feature. Edema and proteinuria define nephrosis, making bacteriuria an incorrect symptom for this condition.

Choice C reason: Edema is a hallmark of nephrosis, resulting from massive proteinuria causing hypoalbuminemia, reducing plasma oncotic pressure. Fluid leaks into interstitial spaces, causing periorbital or generalized edema. This is a primary symptom, reflecting the pathophysiological fluid shift, making it a key characteristic in children with nephrosis.

Choice D reason: Massive proteinuria is a defining feature of nephrosis, particularly minimal change disease, where glomerular damage allows excessive protein filtration. This leads to hypoalbuminemia, edema, and hyperlipidemia. Proteinuria is a core diagnostic criterion, making it a characteristic symptom essential for identifying and managing nephrosis in children.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

Choice A reason: Feeding slowly in pyloric stenosis reduces gastric pressure, minimizing vomiting due to pyloric obstruction from hypertrophied muscle. Slow administration allows small amounts to pass the narrowed pylorus, decreasing reflux and aspiration risk. This intervention supports nutrition delivery, making it a critical nursing action for infants with this condition.

Choice B reason: Thinning formula with water is not recommended in pyloric stenosis, as it reduces caloric density, worsening malnutrition in infants already limited by vomiting. Standard or slightly thickened formula aids retention. Slow feeding and burping are prioritized to manage obstruction, making thinned formula an incorrect intervention for this condition.

Choice C reason: Burping before and during feeding in pyloric stenosis reduces gastric air, decreasing pressure on the obstructed pylorus and minimizing vomiting. This promotes formula retention, reducing aspiration risk. Frequent burping is a standard intervention, supporting effective feeding and nutrition in infants with this hypertrophic condition, making it appropriate.

Choice D reason: Positioning on the left side after feeding is not standard for pyloric stenosis, as right-side or upright positioning better reduces reflux by gravity. Left-side positioning may increase vomiting risk due to pyloric obstruction. Slow feeding and burping are prioritized, making this an incorrect intervention for managing feeding.

Choice E reason: Refeeding after vomiting in pyloric stenosis risks overfilling the stomach, exacerbating vomiting and aspiration due to pyloric obstruction. Small, frequent feedings are preferred to minimize gastric pressure. Slow feeding and burping reduce vomiting, making refeeding an inappropriate intervention, as it does not address the underlying obstruction.

A. Somogyi phenomenon B. Honeymoon effect C. Ketoacidosis D. Dawn phenomenon

Correct Answer is A

Explanation

Choice A reason: The Somogyi phenomenon involves rebound hyperglycemia in the morning following nocturnal hypoglycemia, triggering counter-regulatory hormones (e.g., glucagon, cortisol), causing diaphoresis and headaches. Excess insulin at night lowers glucose, prompting a hyperglycemic rebound. This explains the child’s symptoms, requiring insulin dose adjustment to prevent nocturnal hypoglycemia.

Choice B reason: The Honeymoon effect is a temporary period of improved insulin production post-diagnosis in type 1 diabetes, not causing hyperglycemia, diaphoresis, or headaches. It reflects residual beta-cell function, not a morning rebound. The Somogyi phenomenon better explains the symptoms, making this an incorrect diagnosis.

Choice C reason: Ketoacidosis causes hyperglycemia, but with fruity breath, lethargy, and dehydration, not diaphoresis or headaches alone. It results from insulin deficiency, not nocturnal hypoglycemia rebound. The Somogyi phenomenon’s counter-regulatory response better matches the morning symptoms, making ketoacidosis an incorrect suspicion for this presentation.

Choice D reason: The Dawn phenomenon causes morning hyperglycemia due to growth hormone surges, not diaphoresis or headaches, which suggest a hypoglycemic event. It lacks the rebound mechanism of the Somogyi phenomenon, which explains the combination of symptoms, making this an incorrect suspicion for the child’s condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a child diagnosed with nephrosis. Symptoms that are characteristic of nephrosis include which of the following? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply)

Correct Answer is ["A","C"]

Explanation

What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning?

Correct Answer is A

Explanation

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse’s priority?

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

A nurse is collecting data from a child who has acute lead poisoning. Which of the following findings should the nurse expect?

How are pinworms diagnosed?

Which finding in a newborn is suggestive of tracheoesophageal fistula?

A child with nephrotic syndrome is prescribed a corticosteroid. The nurse should ensure the child is:

The nurse planning care for a child with nephrotic syndrome knows the classification of medication used to reduce edema in nephrotic syndrome is: