Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A non-potty trained child with nephrotic syndromeIn a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?
Correct answer
A
Rationale
The correct answer is A: Weigh the child daily. Daily weight monitoring is crucial in detecting fluid retention in a non-potty trained child with nephrotic syndrome because sudden weight gain can indicate fluid accumulation. It helps to assess the effectiveness of treatment and adjust diuretic therapy if needed.
B: Measuring abdominal girth weekly may not be sensitive enough to detect subtle changes in fluid retention compared to daily weighing.
C: Counting wet diapers is more relevant for assessing hydration status rather than fluid retention in nephrotic syndrome.
D: Testing urine for hematuria is important for identifying blood in the urine, not necessarily fluid retention.
In summary, daily weight monitoring is the most accurate and reliable method for detecting fluid retention in a non-potty trained child with nephrotic syndrome, making it the best choice among the options provided.
B: Measuring abdominal girth weekly may not be sensitive enough to detect subtle changes in fluid retention compared to daily weighing.
C: Counting wet diapers is more relevant for assessing hydration status rather than fluid retention in nephrotic syndrome.
D: Testing urine for hematuria is important for identifying blood in the urine, not necessarily fluid retention.
In summary, daily weight monitoring is the most accurate and reliable method for detecting fluid retention in a non-potty trained child with nephrotic syndrome, making it the best choice among the options provided.