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 C

Explanation

A. Remove clothing. Removing clothing is important to prevent further injury from retained heat or chemicals, but it is not the first priority compared to ensuring a patent airway and adequate breathing.
B. Administer pain medication. Pain management is important but comes after ensuring the child's airway and respiratory status are stable.
C. Assess respiratory status. Burns on the face and chest can compromise the airway and breathing. Assessing respiratory status is the first priority to ensure the child’s airway is not obstructed and that they are receiving adequate oxygen.
D. Insert a Foley catheter. Inserting a Foley catheter may be necessary to monitor urine output and assess kidney function in severe burns, but it is not the first priority compared to assessing respiratory status.

A. Offer chicken broth B. Keep NPO until the diarrhea subsides C. Start hypertonic IV solution D. Assist with initiating oral rehydration therapy

Correct Answer is D

Explanation

A. Offer chicken broth: Chicken broth alone may not provide adequate electrolyte replacement and hydration needed for managing diarrhea-related dehydration.
B. Keep NPO until the diarrhea subsides: NPO status is generally not necessary unless the child is unable to tolerate oral fluids. ORT is preferred to maintain hydration.
C. Start hypertonic IV solution: Hypertonic IV solutions are not typically used for routine management of dehydration from diarrhea in children. ORT is safer and effective.
D. Assist with initiating oral rehydration therapy: Oral rehydration therapy (ORT) is the primary intervention for managing dehydration due to diarrhea in children. It helps replace lost fluids and electrolytes and is the recommended first-line treatment.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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