What nursing assessment finding suggests that child with Nephrotic Syndrome is improving?

Increased ability of tissue to retain fluid

Reduced blood pressure

Increased diuresis and decreased protein loss in urine

Decreased protein severs in serum

Answer and Explanation

The Correct Answer is C

Options A (increased ability of tissue to retain fluid) and B (reduced blood pressure) are not typical signs of improvement in Nephrotic Syndrome. The primary focus is on reducing protein loss and alleviating edema.

Option C. Increased diuresis and decreased protein loss in urine.

Nephrotic Syndrome is characterized by increased urinary protein loss, resulting in hypoalbuminemia, edema, and other symptoms. Improvement in Nephrotic Syndrome is typically indicated by:

Increased diuresis: An increase in urine output suggests that the child is excreting excess fluid, which can help reduce edema (swelling).

Decreased protein loss in urine: A reduction in proteinuria (loss of protein in the urine) is a positive sign, as it indicates that the damaged kidney glomeruli are functioning more effectively in retaining protein.

Option D (decreased protein levels in serum) is also not a clear sign of improvement. While it may be related to reduced protein loss in urine, it does not directly reflect the overall improvement of the condition. Monitoring protein levels in the urine (proteinuria) is a more specific indicator of Nephrotic Syndrome management.

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Correct Answer is A

Explanation

A. Praise them for the care they are giving their child.

Families facing the impending loss of a child need compassion and support. Praising them for the care they are giving their child acknowledges their efforts and reinforces their role in providing comfort to the child. This can help build trust and rapport between the family and healthcare providers during this difficult time.

B. Informing the family that they should have taken better care of their child is judgmental and hurtful. It does not provide the emotional support the family needs.

C. Telling the family to wait until after the death to discuss feelings is not helpful. Open communication and addressing feelings should be encouraged throughout the process.

D. Telling them that the staff will perform all of the final care may come across as impersonal. Involving the family in the care of their dying child can be an important part of the grieving and healing process.

A. Fever B. Unwillingness to move affected extremity. C. Previous closed fracture of an extremity D. Redness and swelling at the site E. Severe pain

Correct Answer is ["A","B","D","E"]

Explanation

A. Fever: Osteomyelitis is often associated with fever as it is an infectious process that can cause an elevated body temperature.

B. Unwillingness to move the affected extremity: Children with osteomyelitis may experience pain and discomfort, leading to a reluctance to move the affected limb.

C. A previous closed fracture of an extremity is not typically a direct assessment finding for osteomyelitis. Osteomyelitis is more commonly associated with infections that can spread to the bone, and a previous fracture may not always be present.

D. Redness and swelling at the site: Osteomyelitis can cause local inflammation, leading to redness and swelling at the affected area.

E. Severe pain: Pain is a common symptom of osteomyelitis, and it can be severe, leading to the child's unwillingness to move the affected extremity.

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What nursing assessment finding suggests that child with Nephrotic Syndrome is improving?

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Naxlex Comprehensive Predictor Exams

The nurse is trying to offer assistance to the family of a dying child. The nurse can:

Correct Answer is A

Explanation

Which would the nurse assess in a child diagnosed with osteomyelitis? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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