A healthcare professional is assessing a child who has nephrotic syndrome. Which of the following findings should the healthcare professional expect?- Nurselytic

Question 1 of 5

A healthcare professional is assessing a child who has nephrotic syndrome. Which of the following findings should the healthcare professional expect?

A. Hypotension B. Hyperglycemia C. Facial edema D. Weight gain

Correct Answer: D

Rationale: In nephrotic syndrome, there is increased permeability of the glomerular filtration barrier, leading to protein loss in the urine. This results in hypoalbuminemia, causing fluid retention and edema. Therefore, weight gain due to fluid retention is a common finding in children with nephrotic syndrome.

Question 2 of 5

A nurse is planning care to address nutritional needs for a preschooler with cystic fibrosis. Which interventions should the nurse include in plans?

A. Administer pancreatic enzymes 2 hours after meals. B. Monitor and adjust the use of pancreatic enzymes if steatorrhea develops. C. Encourage adequate fluid intake based on the child's needs. D. Increase fat content in the child's diet to 40% of total calories.

Correct Answer: D

Rationale: Increasing fat content in the diet is essential for meeting the high energy needs of a child with cystic fibrosis. Cystic fibrosis impairs the absorption of nutrients, particularly fats, so increasing the fat content in the child's diet to 40% of total calories helps ensure adequate caloric intake. This intervention can help maintain the child's nutritional status and support growth and development.

Question 3 of 5

The healthcare provider is providing care to a child who was treated with aspirin during a viral infection. Which clinical manifestations should cause the healthcare provider concern?

A. Nausea, vomiting, and confusion B. Headache, vomiting, and seizures C. Sore throat, moist respirations, and cough D. Fever, rash, and photophobia

Correct Answer: A

Rationale: The symptoms of nausea, vomiting, and confusion are concerning as they are indicative of Reye's syndrome, a rare but serious condition associated with aspirin use in children during viral illnesses. Reye's syndrome can lead to severe complications, including brain and liver damage, hence prompt recognition and management are crucial.

Question 4 of 5

The nurse is reviewing the prescriber’s orders and notes that omeprazole has been order for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient’s record.

A. Aspirin 81mg daily B. Clopidogrel (Plavix) 75mg daily C. Heparin 5000 units subQ q12hrs D. Metoprolol 50mg q8hrs

Correct Answer: B

Rationale: For patients who lack risk factors for GI bleeding, combined use of clopidogrel with a PPI, may reduce the effects of clopidogrel without offering any real benefits and thus should be avoided.

Question 5 of 5

The caregiver is teaching a parent of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?

A. I will not use carbonated beverages to dilute his medication. B. I will give his medication with food to minimize gastrointestinal upset. C. I will not let him chew his tablet. D. I will bring him to the physician's office for regular blood work to check his blood levels.

Correct Answer: B

Rationale: The correct answer is B. Valproic acid should be administered with food to reduce the risk of gastrointestinal upset. Giving it on an empty stomach may increase the likelihood of adverse effects. The other statements are correct: A - Carbonated beverages should not be used to dilute the medication, C - The tablet should not be chewed, and D - Regular blood work is necessary to monitor valproic acid levels and potential side effects.

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Nurselytic

ATI RN