The nurse is caring for a patient with glomerulonephritis. Which finding best leads the nurse to suspect that the patient is developing nephrotic syndrome?
a. Ascites
b. Anorexia
c. Pruritis
d. Lethargy
A
Nephrotic syndrome sometimes occurs after the glomeruli have been damaged by glomerulo-nephritis or some other disease. This damage results in increased membrane permeability and excretion of protein and decreased serum albumin (hypoalbuminemia). Hypoalbuminemia causes fluid to shift out into the body tissues and the result is severe edema (ascites). Patients with nephrotic syndrome may also display lethargy and anorexia but are not hallmark symptoms. Nephrotic syndrome does not cause pruritus (itching), although patients with renal insufficiency with high phosphorus/calcium products may experience itching.
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The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?
a. Excessive swelling of the lymph nodes b. Presence of palpable lymph nodes c. No palpable nodes because of the immature immune system of a child d. Fewer numbers and a smaller size of lymph nodes compared with those of an adult
A procedure that can be used in testing causal models is:
A) Factor analysis B) Discriminate analysis C) LISREL D) Power analysis
The patient has received blood within the past 6 hours. The patient begins to feel short of breath and calls for the nurse. The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum
The nurse calls the physician immediately, knowing that the patient is showing signs of _________________. Fill in the blanks with correct word
An objective of care for the child with nephrosis is to:
a. Reduce blood pressure. b. Reduce excretion of urinary protein. c. Increase excretion of urinary protein. d. Increase ability of tissues to retain fluid.