Question

a child with a history of nephrotic syndrome has a pale, muddy appearance, has poor appetite, and reports unusual fatigue after school. which situation would the nurse suspect?
impending renal failure
excessive activity at school
development of a viral infection
nonadherence to the medication protocol

Explanation:

• Impending renal failure: Symptoms like pale, muddy appearance, poor appetite, and unusual fatigue are common in renal failure. Nephrotic syndrome can progress to renal failure, so this is a likely suspect.
• Excessive activity at school: While activity can cause fatigue, it doesn't explain the pale, muddy appearance and poor appetite.
• Development of a viral infection: Viral infections may cause some fatigue but not the full - blown symptoms described here in the context of nephrotic syndrome history.
• Nonadherence to the medication protocol: Non - adherence might lead to a relapse of nephrotic syndrome (e.g., increased proteinuria), but the symptoms described are more in line with renal failure progression rather than a simple relapse due to non - adherence.

Answer:

Impending renal failure