Author Question: Which clinical manifestations should the nurse anticipate when assessing a child who has been ... (Read 83 times)

beccaep · **on:** Jun 27, 2018

Which clinical manifestations should the nurse anticipate when assessing a child who has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?

1. Massive proteinuria, hypoalbuminemia, and edema
2. Hematuria, bacteriuria, and weight gain
3. Urine specific gravity decreased and urinary output increased
4. Gross hematuria, albuminuria, and fever

Question 2

During a home visit the nurse suspects that a newborn is experiencing chlamydial conjunctivitis. What did the nurse assess to make this clinical determination? Select all that apply.

1. Eyelid swelling
2. Yellow discharge
3. Eye inflammation
4. Purulent discharge
5. Corneal ulcerations

emilymalinowski12 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Explanation:
1. 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.
2. Bacteriuria and fever are associated with a urinary tract infection. Because of the edema, a weight gain, not a weight loss, would be seen.
3. In MCNS, the urine output decreases and the specific gravity of urine increases.
4. Gross hematuria and hypertension are associated with glomerulonephritis.

Answer to Question 2

1, 2, 3
Explanation:
1. Manifestations of chlamydial conjunctivitis include eyelid swelling 5 to 14 days after birth.
2. Manifestations of chlamydial conjunctivitis include yellow discharge.
3. Manifestations of chlamydial conjunctivitis include eye inflammation.
4. Purulent discharge is a manifestation of ophthalmia neonatorum caused by gonorrhea.
5. Corneal ulceration is a manifestation of ophthalmia neonatorum caused by gonorrhea.