You are the nurse assigned to work with a child with nephrotic syndrome. By following the prescribed treatment regimen, the child experiences a remission. You are now checking to make sure the child does not have a relapse
Which finding would most lead you to the conclusion that a relapse was happening? a. a temperature of 37.8 degrees C (100 degrees F), flank pain, burning, frequency, urgency on voiding, and cloudy urine
b. a urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child found to have 3-4+ proteinuria plus edema
c. elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential
d. the urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine output, and a moon face
B
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A Incorrect. A relapse of nephrotic syndrome is not identified by these symptoms: a temperature of 37.8 degrees C (100 degrees F), flank pain, burning, frequency, urgency on voiding, and cloudy urine.
B Correct. A relapse of nephrotic syndrome is defined as: a urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child is found to have 3-4+ proteinuria plus edema.
C Incorrect. A relapse of nephrotic syndrome is not identified by these symptoms: elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential.
D Incorrect. A relapse of nephrotic syndrome is not identified by these symptoms: the urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine output, and a moon face.
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A. Withdrawal of maternal hormones. B. A urinary infection. C. An immature immune system. D. Physiologic jaundice.
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?
a. NSAIDs c. Vitamin A b. Beets d. Red meat
As a nurse, which of the following would you recognize as accurately describing the phenomenon of first-pass metabolism?
1. Sublingual medications pass first through the mucosal lining of the mouth. 2. Intradermal medications are absorbed first by the skin and then by underlying tissue. 3. Oral medications are metabolized by the liver before entering the bloodstream. 4. Intramuscular injections pass through the subcutaneous layer of skin into muscle.
The area of the kidneys that contains the glomeruli and portions of the tubules is called the:
a. Medulla b. Cortex c. Pyramids d. Columns