A child is admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). Which clinical manifestations does the nurse anticipate when conducting the admission assessment?
1. Hematuria, bacteriuria, weight gain
2. Gross hematuria, albuminuria, fever
3. Massive proteinuria, hypoalbuminemia, edema
4. Hypertension, weight loss, proteinuria
Correct Answer: 3
Rationale: Nephrotic syndrome is an alteration in kidney function secondary to increased glomerular basement membrane permeability to plasma protein. It is characterized by massive proteinuria, hypoalbuminemia, and edema. While hematuria and hypertension may be present, they are not pronounced. Gross hematuria and hypertension are associated with glomerulonephritis. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.
You might also like to view...
An adult child brings a parent in to be evaluated and is told the client has Alzheimer disease. The adult child asks the nurse if all the children of the client are going to get the disease. Which risk factors will the nurse include when responding to the
Select all that apply. A) Genetic predisposition B) Age C) History of hypertension D) Race E) Environmental exposure
An operating nurse who does not speak up to a surgeon before a wrong site sentinel event happens
A. Is incompetent and should be disciplined B. May indicate a symptom of underlying negative dynamics and poor communication within the operating room team C. Is probably responsible for many errors for which the surgeon will be blamed D. All of the above
To prevent shampoo from getting into the person's eyes:
a. The person is shampooed at the sink or on a stretcher. b. A hand-held nozzle is used. c. The hair is rinsed thoroughly. d. The person holds a washcloth over the eyes.
A nurse at the detoxification center is caring for a severely malnourished client with a
history of chronic alcoholic abuse. What nursing care measure should be employed when caring for the client during the time of withdrawal? A) Provide high-calorie, carbohydrate-rich food to the client B) Encourage the client to drink only water C) Avoid the joint administration of electrolytes and intravenous fluids D) Position the client on the side if he has vomiting or nausea