A school-age client who recently moved to a new school in a different town presents to an ambulatory care center and describes the following, ‘I have no friends in my new school and I no longer want to play soccer. I know I will be lonely here too.’ Which of these takes priority when speaking with the school-age client?

Promoting healthy mental-health outcomes

Helping the school-age client register the value of soccer

Stressing the importance of remaining in close parent-child relationships

Acknowledging the fact that it might take several months to make new friends at this school

Answer and Explanation

The Correct Answer is A

a) Promoting healthy mental-health outcomes: The primary focus should be on the client's emotional well-being and helping them cope with the feelings of loneliness and adjustment to a new environment.
b) Helping the school-age client register the value of soccer: While beneficial, it's secondary to addressing the client's emotional state.
c) Stressing the importance of remaining in close parent-child relationships: Important, but not the immediate priority in this situation.
d) Acknowledging the fact that it might take several months to make new friends at this school: Valid, but addressing the immediate emotional distress is more crucial.

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Correct Answer is ["A","B","D"]

Explanation

a) nephritis: Common in lupus, involving inflammation of the kidneys.

b) butterfly rash: Characteristic rash across the cheeks and bridge of the nose, commonly seen in lupus.

c) hepatomegaly: While possible in certain conditions, it's not typically a primary manifestation of lupus.

d) arthritis: Joint inflammation and pain are common in lupus.

e) osteochondritis: While musculoskeletal symptoms can occur in lupus, osteochondritis is not a common manifestation.

A. High fever B. Nausea and vomiting C. Abdominal pain D. Abdominal distension E. Costovertebral angle tenderness

Correct Answer is ["A","B","C","E"]

Explanation

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are clinical manifestations of Lupus (SLE)?

Correct Answer is ["A","B","D"]

Explanation

A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

A newborn has a stomach capacity of how many mL’s by the end of the first month?

You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session?

Which of the following are characteristics seen in bronchiolitis and RSV? (Select All That Apply . )

The nurse educates the family of a child with Lupus (SLE) about avoiding which of the following triggers that may cause flare-ups?

An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

A child in renal failure is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid? Fruits and vegetables low in potassium