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.
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Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
Correct Answer is D
Explanation
A. Spironolactone: Spironolactone is a diuretic, not a proton-pump inhibitor.
B. Albuterol: Albuterol is a bronchodilator used for respiratory conditions, not GERD.
C. Heparin: Heparin is an anticoagulant, unrelated to GERD treatment.
D. Omeprazole (Prilosec): Omeprazole is a proton-pump inhibitor that reduces gastric acid production, commonly used in GERD.
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