A child is being treated for nephrotic syndrome. Which assessment ...

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A child is being treated for nephrotic syndrome. Which assessment finding indicates that an important goal for this child is being met?
 
  A.
  Decreased abdominal girth
  B.
  Diminished urine output
  C.
  Improved rash
  D.
  Increased weight over a week

Question 2

An infant is born with exstrophy of the bladder but otherwise appears healthy. Which nursing diagnosis is the priority for this infant?
 
  A.
  Altered family processes
  B.
  Fluid volume deficit
  C.
  Hypothermia
  D.
  Risk for infection

[akpaschal]

Answer to Question 1

ANS: A
The combination of fluid retention and protein loss through the urine produces ascites, or a swollen belly. Decreasing abdominal girth signifies that the disease is being successfully treated. Urine output is already diminished in nephrotic syndrome. There is no rash. Increasing weight means increased fluid retention, which would not be an improvement.

Answer to Question 2

ANS: D
In this condition, the bladder is open on the abdominal wall, and priority interventions revolve around preventing infection. There is no indication that the child has fluid volume deficit or hypothermia. Altered family processes might be a diagnosis, but physical diagnoses take priority over psychosocial ones.

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Thank you

[akpaschal]

No problemo