A nurse is caring for a 7-year-old child who has acute glomerulonephritis. Which of the following findings is the priority for the nurse to report to the provider?
BP 150/90 mmHg
BUN 20 mg/dL
Urine protein 12 mg/dL
2+ pedal edema
The Correct Answer is A
Choice A reason: A blood pressure reading of 150/90 mmHg is significantly high for a 7-year-old child and indicates hypertension, which can be a serious complication of acute glomerulonephritis. It is a priority to report this finding to the provider as it may require immediate intervention.
Choice B reason: A BUN level of 20 mg/dL is within the normal range for children and is not typically a cause for immediate concern. However, it should be monitored along with other kidney function tests.
Choice C reason: Urine protein of 12 mg/dL is a common finding in acute glomerulonephritis due to increased permeability of the glomerular membrane. It is important but not as urgent as the blood pressure finding.
Choice D reason: 2+ pedal edema is a sign of fluid retention, which is expected in acute glomerulonephritis. While it should be addressed, it is not as immediately concerning as severe hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Introducing popcorn as a healthy snack at 12 months of age is not recommended due to the risk of choking. Popcorn is a choking hazard for young children and should be avoided until they are older.
Choice B reason: Providing 36 oz of milk per day to a toddler may be excessive and can lead to iron deficiency anemia due to the displacement of other iron-rich foods. The American Academy of Pediatrics recommends 16-24 oz of milk per day for toddlers.
Choice C reason: Offering 8 to 10 oz of juice per day to a preschooler exceeds the American Academy of Pediatrics' recommendation of limiting juice to 4-6 oz per day for children 1-6 years old to prevent dental caries and ensure they consume more whole fruits.
Choice D reason: Encouraging a 15-year-old to increase calcium intake is appropriate as adolescence is a critical period for bone development. Adequate calcium intake supports optimal bone growth and density, helping to prevent osteoporosis later in life.
Correct Answer is D
Explanation
Choice A reason: Genital herpes simplex virus is a common sexually transmitted infection, but it is not nationally notifiable. It is managed with antiviral medications and patient education.
Choice B reason: Bacterial vaginosis is a condition caused by an imbalance of bacteria in the vagina and is not classified as a sexually transmitted infection. It is not nationally notifiable.
Choice C reason: Trichomoniasis is a sexually transmitted infection caused by a parasite. While it is common and treatable, it is not nationally notifiable.
Choice D reason: Gonorrhea is a sexually transmitted bacterial infection that is nationally notifiable. Public health departments track cases of gonorrhea to monitor and control outbreaks.
Choice E reason: Human papillomavirus (HPV) is the most common sexually transmitted infection and can lead to health problems like genital warts and cancers. However, it is not nationally notifiable.
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