Author Question: A child has been admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome ... (Read 66 times)

xroflmao · **on:** Jun 27, 2018

A child has been admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?

1. Hematuria,bacteriuria,weight gain
2. Gross hematuria,albuminuria,fever
3. Massive proteinuria,hypoalbuminemia,edema
4. Hypertension,weight loss,proteinuria

Question 2

The nurse teaches parents that the anticholinergic drug used to treat enuresis is

1. desmopressin acetate (DDAVP).
2. oxybutynin (Ditropan).
3. imipramine (Tofranil).
4. spironolactone (Aldactone).

bfulkerson77 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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.

Answer to Question 2

Answer:2
Rationale:Oxybutynin (Ditropan) is an anticholinergic that relaxes the smooth muscle of the bladder,allowing for an increase in bladder capacity and a delay in the initial desire to void.Desmopressin acetate (DDAVP) is a vasopressin, imipramine (Tofranil) is a tricyclic antidepressant,and spironolactone (Aldactone) is a potassium-sparing diuretic.