A nurse is caring for a child who has acute glomerulonephritis.
Which of the following actions is the nurse's priority?
Check the child's daily weight.
Educate the parents about potential complications.
Place the child on a no-salt-added diet.
Maintain a saline lock.
The Correct Answer is A
Nursing care planning goals for a child with acute glomerulonephritis are directed toward the excretion of excess fluid through urination.
Monitoring fluid status is very important and daily weights are an effective way to monitor fluid retention, as weight gain is the earliest sign of fluid retention.
Choice B, Educating the parents about potential complications, is important but not the nurse’s priority.
Choice C, Place the child on a no-salt-added diet, which may be part of the treatment
plan but is not the nurse’s priority.
Choice D, Maintaining a saline lock, may be necessary for administering medications but is not the nurse’s priority.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
The nurse should instruct the children’s parents to seal nonwashable items in airtight plastic bags for at least 72 hours to kill any lice or nits that may be on those items.
Choice A is incorrect because lice are specific to humans and do not infest dogs
or cats.
Choice B is incorrect because soaking combs and hairbrushes in alcohol is not necessary.
Instead, they can be soaked in hot water (at least 130°F) for 5-10 minutes.
Choice C is incorrect because spraying countertops and sinks with insecticide is not necessary and could be harmful.
Correct Answer is D
Explanation
Tinea pedis is a fungal infection that affects the skin on the feet and is commonly known as an athlete’s foot.
Choice A, Shingles, is incorrect because shingles are a viral infection that causes a
painful rash.
Choice B, Valley fever, is incorrect because valley fever is a fungal infection that affects the lungs.
Choice C, Fever blister, is incorrect because fever blisters are caused by the herpes simplex virus and typically appear on or around the lips.
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