1. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

a. X ?Yellow nasal discharge

b. Yellow or green nasal discharge is an indication of an upper respiratory infection. Children who have nephrotic syndrome are at constant risk for infection. The nurse should report this manifestation to the provider so the child can receive appropriate and prompt treatment.

c. ?Facial edema

d. MY ANSWER

e. ?Facial edema is an expected manifestation of nephrotic syndrome.

f. ?Poor appetite

g. ?Poor appetite is an expected manifestation of nephrotic syndrome.

h. ?Irritability

i. ?Irritability is an expected manifestation of nephrotic syndrome.

2. X A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

a. X Polyuria

b. The glomerular membrane is permeable to albumin, which is excreted and changes the colloidal osmotic pressure. Therefore, a decrease in urine is a manifestation of nephrotic syndrome.

c. Facial edema

d. MY ANSWER

e. The glomerular membrane is permeable to albumin, which is excreted and changes the colloidal osmotic pressure. Therefore, facial edema is a manifestation of nephrotic syndrome.

f. Smokey brown urine

g. The urine of a client who has nephrotic syndrome consists of protein, hyaline casts, and oval fat bodies. Therefore, frothy urine is a manifestation of nephrotic syndrome.

h. Hypertension

i. The glomerular membrane is permeable to albumin, which is excreted and changes colloidal osmotic pressure leading to hypovolemia. Therefore, hypotension is a manifestation of nephrotic syndrome.

3. A nurse is instructing a group of clients regarding nutrition. The teaching should state that which of the following groups of foods contains the highest level of carbohydrate?

a. X Milk, eggs, and cheese

b. This group of foods does not contain the highest level of carbohydrates.

c. Butter, oils, and avocados

d. This group of foods does not contain the highest level of carbohydrates. e. Rice, potatoes, and oranges

f. MY ANSWER

g. This group of foods contains the highest level of carbohydrates.