Which is the most common characteristic associated with Nephrotic syndrome?

Choice A rationale

Documenting a family history of allergies is important for a complete health history, but it is not a direct documentation of the patient's own reported allergies. The question asks what information to document regarding a patient's reported allergies, so the focus is on the patient's personal experience, not that of their family.

Choice B rationale

The type of allergic reaction is crucial information to document. This helps in distinguishing between a true anaphylactic reaction and a side effect or intolerance. Documenting the specific signs and symptoms, such as rash, hives, or shortness of breath, provides vital information for preventing future exposures and guiding appropriate treatment if one occurs.

Choice C rationale

The medication names are essential to document to prevent future exposure to the same drug. This ensures that the patient does not receive the offending medication again, which is a primary safety measure. It is a fundamental component of a complete allergy record to specify the substance that caused the reaction.

Choice D rationale

Documentation of Epi Pen use is critical as it indicates a severe, anaphylactic reaction requiring an emergency intervention. This information alerts providers to the high risk of a life-threatening allergic response and the need for preparedness, such as having epinephrine available for future exposure.

Choice E rationale

The date of the allergic reaction should be documented to provide a chronological history. This helps in understanding the timeline of the allergy and can be useful for determining if an allergy has changed over time or for correlating the reaction with a specific exposure

Choice A rationale

Water alone does not contain the necessary electrolytes, such as sodium, potassium, and chloride, which are lost during vomiting and diarrhea associated with gastroenteritis. Providing only water can worsen electrolyte imbalances and potentially lead to hyponatremia, a dangerous condition caused by an excess of water relative to sodium concentration in the body.

Choice B rationale

Oral Rehydration Solution (ORS) is specifically formulated to replace the fluids and electrolytes lost during gastroenteritis. It contains a balanced mixture of carbohydrates (glucose) to facilitate sodium and water absorption and essential electrolytes to correct imbalances. This solution prevents dehydration and restores normal physiological function more effectively than other fluids.

Choice C rationale

Broth contains high levels of sodium, but it lacks other crucial electrolytes like potassium and also does not provide the necessary carbohydrates to promote rehydration. The high sodium content could also contribute to an electrolyte imbalance. It is not an optimal choice for rehydration and is less effective than a balanced ORS.

Choice D rationale

Seltzer is carbonated water and does not contain the necessary electrolytes or carbohydrates for effective rehydration. The carbonation can also cause abdominal distension and discomfort, which may worsen symptoms of gastroenteritis, such as nausea and bloating. It is not a recommended fluid for rehydrating a child with diarrhea and vomiting.

Choice E rationale

Diluted apple juice, while containing some sugar, does not have the correct balance of electrolytes needed for rehydration. High sugar concentrations in juices can also have an osmotic effect, drawing water into the intestines and potentially worsening diarrhea. This makes it a less effective choice compared to a specifically formulated oral rehydration solution.