Following an episode of strep throat, the school nurse notices the fourth grade child has not recovered from this illness a week later. Upon further investigation, the nurse notices that the child has developed water retention
Which of the following assessments support this conclusion? Select all that apply.
A) Periorbital edema
B) BP 100/70
C) Swelling of the hands and fingers
D) Vomiting after intake of any solid food
E) Dizziness and right ear pain
Ans: A, B
Feedback:
Generalized edema, a hallmark of nephrosis, results from salt and water retention and a decrease in plasma colloid osmotic pressure due to loss of albumin in the urine. Glomerulonephritis is characterized by sodium and water retention that causes edema, particularly of the face and hands. Fluid retention usually results in an elevated BP, not a normal one. Vomiting and dizziness are not associated with this diagnosis.
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