Nokea
A nurse is caring for a school-age child with primary nephrotic syndrome who is taking prednisone. After 1 week of treatment, which manifestation indicates to the nurse that the medication is effective?
- A. Decreased edema
- B. Increased abdominal girth
- C. Decreased appetite
- D. Increased protein in the urine
Correct Answer: A
Rationale: In a child with nephrotic syndrome, the presence of edema is due to fluid retention caused by protein loss in the urine. Prednisone, a corticosteroid, helps reduce inflammation and decrease the loss of protein in the urine, leading to a decrease in edema. Therefore, decreased edema is an indication that the prednisone treatment is effective in managing the nephrotic syndrome.
You may also like to solve these questions
Why should a healthcare professional take time to get to know the things a family does together, their weekly routine, and an explanation of family dynamics?
- A. Involvement in family is central to best practice
- B. It is not necessary, but it is beneficial
- C. To gather demographic information for documentation purposes
- D. To assess if they have values that align with the practitioner's
Correct Answer: A
Rationale: Understanding the activities, routines, and dynamics of a family is crucial for a healthcare professional to provide holistic care. By gaining insight into the family's lifestyle and relationships, the professional can tailor interventions that are better integrated into the family's daily life, fostering more effective therapy outcomes and enhancing the overall quality of care provided.
Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT
- A. hyperuricemia
- B. hypernatremia
- C. hyperkalemia
- D. hyperphosphatemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?
- A. #ERROR!
- B. Potassium level of 3.5mEq/L
- C. Crackles in the lungs are no longer heard
- D. Jugular vein distention
Correct Answer: C
Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.
A child is being assessed for possible appendicitis with perforation. Which of the following findings should the nurse expect?
- A. Hyperactive bowel sounds
- B. Abdominal distension
- C. Hypoactive bowel sounds
- D. Bradycardia
Correct Answer: D
Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation.