The nurse is reviewing the record of a child diagnosed with ...

[tiffannnnyyyyyy]

The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse would expect to note which of the following findings documented in the child's record?
 
  1. Polyuria
  2. Weight gain
  3. Hypotension
  4. Grossly bloody urine

Question 2

The nurse is administering a dose of a prescribed diuretic to an assigned client. The nurse should monitor the client for hypokalemia as a side effect of therapy if the client has been receiving which of the following medications?
 
  1. Spironolactone (Aldactone)
  2. Bumetanide (Bumex)
  3. Triamterene (Dyrenium)
  4. Amiloride HCl (Midamor)

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Answer to Question 1

2

Rationale: Massive edema resulting in dramatic weight gain is a characteristic finding in ne-phrotic syndrome. Urine is dark, foamy, and frothy, but only microscopic hematuria is present; frank bleeding does not occur. Urine output is decreased, and hypertension is likely to be present.

Answer to Question 2

2

Rationale: Bumetanide (Bumex) is a loop diuretic that places the client at risk for hypokalemia. The nurse would monitor this client carefully for signs of hypokalemia, monitor serum potassium levels, and encourage intake of high-potassium foods. The other medications listed are potassi-um-sparing diuretics.

[tiffannnnyyyyyy]

TYSM

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Excellent