The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?

Increased appetite

Proteinuria

Weight loss

Hyperalbuminemia

Answer and Explanation

The Correct Answer is B

A. Increased appetite: Increased appetite is not typically associated with nephrotic syndrome, as protein loss can lead to generalized malaise and decreased appetite.
B. Proteinuria: Proteinuria (excessive protein in the urine) is a hallmark finding in nephrotic syndrome due to increased permeability of the glomerular filtration barrier.
C. Weight loss: Weight gain due to edema is more common in nephrotic syndrome than weight loss.
D. Hyperalbuminemia: Nephrotic syndrome is characterized by hypoalbuminemia (low albumin levels) due to loss of albumin through the kidneys.

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Correct Answer is D

Explanation

A. Hypertension: Hypertension is not typically associated with nephrotic syndrome unless there are underlying kidney complications.
B. Polyuria: Polyuria (increased urine output) is not typically seen in nephrotic syndrome, which is characterized by proteinuria and edema.
C. Orange-tinged urine: Orange-tinged urine suggests the presence of blood or bilirubin, which is not typically associated with nephrotic syndrome.
D. Periorbital edema: Periorbital edema (swelling around the eyes) is a common manifestation of nephrotic syndrome due to fluid retention.

A. Dry mucous membranes B. Diaphoresis C. Polyuria D. Fruity breath odor

Correct Answer is B

Explanation

A. Dry mucous membranes. Associated with dehydration, not hypoglycemia.
B. Diaphoresis. Sweating (diaphoresis) is a common symptom of hypoglycemia due to the body’s response to low blood glucose levels.
C. Polyuria. Associated with hyperglycemia, where there is an excess of glucose leading to increased urine output.
D. Fruity breath odor. Indicates ketosis, which is a sign of hyperglycemia and diabetic ketoacidosis, not hypoglycemia.

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The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?

Nursing Test Bank

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