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","D"]
Explanation
A. Wheezing: Reflux of stomach contents can cause aspiration, leading to wheezing or respiratory symptoms.
B. Weight Loss: Chronic vomiting and poor feeding due to GER can result in inadequate weight gain or weight loss.
C. Pallor: Pallor is not commonly associated with GER but may indicate anemia or another condition.
D. Vomiting: Vomiting, especially after feeding, is a hallmark sign of GER.
E. Rigid Abdomen: A rigid abdomen is more indicative of severe abdominal pathology like peritonitis, not GER.
Correct Answer is C
Explanation
A. "Give your infant an oral rehydrating solution.": Rehydration is important but does not address the underlying issue of possible pyloric stenosis.
B. "Burp your child more frequently during feedings.": Burping does not resolve projectile vomiting, which may indicate a more serious condition.
C. "Bring your infant into the clinic today to be seen.": Projectile vomiting and post-feeding hunger are signs of pyloric stenosis, which requires prompt evaluation.
D. "You might want to try switching to a different formula.": Changing formula does not address the likely structural cause of vomiting.
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