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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urinary tract infection: Dysuria (painful urination) and urgency are common symptoms of urinary tract infection (UTI) in children.
B. Nephrotic syndrome: Nephrotic syndrome typically presents with proteinuria, edema, and hypoalbuminemia, not dysuria and urgency.
C. Acute glomerulonephritis: Acute glomerulonephritis may present with hematuria, proteinuria, hypertension, and edema, but not typically with dysuria and urgency.
D. Vesicoureteral reflux: Vesicoureteral reflux may present with recurrent UTIs but is not typically associated with dysuria and urgency as primary symptoms.
Correct Answer is B
Explanation
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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