A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child’s history, what does the nurse recognize as the probable cause?
Recovery from German measles 2 months ago
Dysuria
A sore throat 2 weeks ago
A history of allergy
The Correct Answer is C
A. Recovery from German measles 2 months ago: German measles (rubella) is not associated with glomerulonephritis.
B. Dysuria: While dysuria is a symptom of urinary tract infections, it does not directly cause glomerulonephritis.
C. A sore throat 2 weeks ago: Acute glomerulonephritis often follows a streptococcal infection, such as strep throat, typically within 1-3 weeks.
D. A history of allergy: Allergies are not a causative factor for glomerulonephritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Offer chicken broth: Chicken broth is high in sodium and lacks appropriate electrolytes for rehydration.
B. Assist with starting an infusion of a hypertonic solution: Hypertonic solutions are not appropriate for rehydration and can worsen dehydration.
C. Assist with initiating oral rehydration therapy: Oral rehydration therapy is the recommended first-line treatment for dehydration caused by diarrhea.
D. Keep NPO until diarrhea stops: Keeping the child NPO can exacerbate dehydration and is not evidence-based management for diarrhea.
Correct Answer is D
Explanation
A. 15 mL: 15 mL is far too high for the volume corresponding to 1 gram of diaper weight.
B. 30 mL: 30 mL is too large of a conversion for 1 gram of diaper weight.
C. 5 mL: 5 mL is too large for the standard conversion of 1 gram of diaper weight to urine volume.
D. 1ml:Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
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