Pediatric Exam 2

A child with nephrotic syndrome is admitted with severe periorbital edema. Which provider order should the nurse question?

• Daily weights

• IV albumin infusion

• Sodium-restricted diet

• High-sodium snacks to stimulate appetite

Which finding is most concerning in a child with nephrotic syndrome?

• Frothy urine

• 2+ pitting edema in the ankles

• Fever of 101.8°F (38.8°C)

• Fatigue after walking

The nurse is educating the parents of a child with nephrotic syndrome about prednisone therapy. Which statement indicates understanding?

• We will stop the medication when the swelling goes away.

• We should not give any live vaccines while our child is on steroids.

• We should double the dose if protein is found in the urine.

• We can give the medication at different times each day.

A child with nephrotic syndrome is receiving diuretics. What is the most important nursing action?

• Monitoring blood pressure hourly

• Strict intake and output

• Administering with milk

• Assessing for cough and wheezing

Which lab result would the nurse expect in nephrotic syndrome?

• Elevated serum albumin

• Decreased serum cholesterol

• Hypoalbuminemia

• Hypernatremia

A child with acute post-streptococcal glomerulonephritis (APSGN) presents with cola-colored urine and hypertension. Which nursing intervention is a priority?

• Encourage oral fluids

• Monitor for seizures

• Provide high-sodium diet

• Place child in contact isolation

Which assessment finding supports the diagnosis of APSGN?

• Generalized petechiae

• Recent sore throat

• Weight loss

• Diarrhea

A nurse prepares to give antibiotics to a child with APSGN. Which is the best rationale?

• To prevent hematuria

• To treat the underlying streptococcal infection

• To prevent seizures

• To decrease blood pressure

Which complication is the nurse most concerned about in APSGN?

• Hypotension

• Seizures due to hypertension

• Dehydration

• Hypoglycemia

Which finding should the nurse expect in a child with APSGN?

• Hematuria and proteinuria

• Hypotension and tachycardia

• Increased urine output

• Polyuria with clear urine