Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
An eight-year-old with nephrotic syndrome is pale, lethargic, and has ascitesTo determine if the ascites is increasing, the nurse should:
Correct answer
D
Rationale
The correct answer is D: Monitor and measure the abdominal girth. This is the most appropriate method to determine if ascites is increasing. Abdominal girth measurement provides a direct assessment of fluid accumulation in the abdominal cavity. Assessing bowel sounds (A) is not specific to ascites. Frequently ambulating the child (B) may not directly indicate ascites progression. Weighing the child weekly (C) may show overall weight changes but not specific to ascites.