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 ["A","B","C"]
Explanation
A. Report recurrence of urinary frequency: Urinary frequency can indicate unresolved or recurrent UTI.
B. Avoid bubble bath: Bubble baths can irritate the urethra and increase the risk of UTIs.
C. Empty bladder completely with each void: Incomplete bladder emptying can promote bacterial growth.
D. Wipe perineal area back to front: The correct method is wiping front to back to prevent bacterial contamination from the anal area.
E. Wear nylon underpants: Cotton underpants are recommended to allow better airflow and reduce moisture, which promotes bacterial growth.
Correct Answer is B
Explanation
A. Antibiotics: Antibiotics are used for infections, not for enuresis.
B. Behavioral therapy and/or DDVAP (Desmopressin): Behavioral therapy (such as bedwetting alarms) is first-line, and desmopressin reduces nocturnal urine production when behavioral methods are insufficient.
C. Pain medication: Pain is not a factor in enuresis and does not require analgesics.
D. Surgical intervention: Surgery is not a common treatment for enuresis and is only considered in rare anatomical abnormalities.
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