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    Ati N400 pediatric proctored exam 2

    Which physical assessment finding by the nurse is characteristic of a child with nephrotic syndrome which decreases throughout the day?

    Explanation & Rationale

    A. Facial and periorbital edema that decreases throughout the day is characteristic of nephrotic syndrome. Edema is most prominent around the eyes in the morning because fluid shifts into dependent areas (legs, ankles, abdomen) as the child becomes upright and active, making facial swelling less noticeable later in the day. B. Facial redness that worsens in the evening is not associated with nephrotic syndrome. Redness is not a key feature of the condition. C. Periorbital edema that increases throughout the day is the opposite of what typically occurs. The edema is worse in the morning, not the evening. D. Swelling of the lower extremities and genitalia does occur in nephrotic syndrome but does not typically resolve or lessen throughout the day in the same way that periorbital edema does.

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