Which physical assessment finding by the nurse is characteristic of a child with nephrotic syndrome which decreases throughout the day?
Facial and periorbital edema that decreases throughout the day
Facial redness that worsens in the evening
Periorbital edema that increases throughout the day
Swelling of the lower extremities and genitalia
The Correct Answer is A
A. Facial and periorbital edema that decreases throughout the day is characteristic of nephrotic syndrome. Edema is most prominent around the eyes in the morning because fluid shifts into dependent areas (legs, ankles, abdomen) as the child becomes upright and active, making facial swelling less noticeable later in the day.
B. Facial redness that worsens in the evening is not associated with nephrotic syndrome. Redness is not a key feature of the condition.
C. Periorbital edema that increases throughout the day is the opposite of what typically occurs. The edema is worse in the morning, not the evening.
D. Swelling of the lower extremities and genitalia does occur in nephrotic syndrome but does not typically resolve or lessen throughout the day in the same way that periorbital edema does.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["62.5"]
Explanation
Total volume = 1500 mL
Total time = 24 hours
Infusion rate (mL/hr) = Total volume ÷ Time
= 1500 ÷ 24
= 62.5 mL/hr
Final Answer:62.5 mL/hr
Correct Answer is C
Explanation
A. Providing support for the back and spine is not the purpose of the Pavlik harness. It is specifically designed for hip stabilization, not spinal conditions.
B. Immobilizing the legs and preventing movement is not accurate. The Pavlik harness allows limited movement while maintaining the hips in proper alignment; complete immobilization is not intended.
C. Holding the hips in a flexed and abducted position is the primary purpose of the Pavlik harness. This position keeps the femoral head well-seated in the acetabulum, promotes normal hip joint development, and prevents long-term complications associated with developmental dysplasia of the hip (DDH).
D. Correcting scoliosis in infants is unrelated. A Pavlik harness is not used for spinal deformities.
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