Author Question: Which diagnostic finding is assessed by the nurse when a child has primary nephrotic syndrome? a. ... (Read 66 times)

newyorker26 · **on:** Jun 27, 2018

Which diagnostic finding is assessed by the nurse when a child has primary nephrotic syndrome?

a. Hyperalbuminemia
b. Positive ASO titer
c. Leukocytosis
d. Proteinuria

Question 2

What is a clinical finding that warrants further intervention for the child with acute poststreptococcal glomerulonephritis?

a. Weight loss to within 1 pound of the preill-ness weight
b. Urine output of 1 milliliter per kilogram per hour
c. A normal blood pressure
d. Inspiratory crackles

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

Answer to Question 1

D
Large amounts of protein are lost through the urine as a result of an increased permeability of the glomerular basement membrane. Hypoalbuminemia is present because of loss of albumin through the defective glomerulus and the liver's inability to synthesize proteins to balance the loss. ASO titer is negative in a child with primary nephrotic syndrome. Leukocytosis is not a diagnostic finding in primary nephrotic syndrome.

Answer to Question 2

D
Children with excess fluid volume may have pulmonary edema. Inspiratory crackles indicate fluid in the lungs. Pulmonary edema can be a life-threatening complication. Weight loss to within 1 pound of the preillness weight is an indication that the child is responding to treatment. A urine output of 1 milliliter per kilogram per hour is an acceptable urine output and indicates that the child is responding to treatment. A normal blood pressure is also an indication that the child is responding to treatment.