A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?

History of a runny nose and itchy eyes within the last week

Treatment for a viral illness within the last seven days

Treatment for a urinary tract infection within the last ten days

Treatment for strep throat within the last two weeks

Answer and Explanation

The Correct Answer is D

A. A history of runny nose and itchy eyes is more indicative of an allergic reaction, not glomerulonephritis.
B. A viral illness is less likely to cause glomerulonephritis compared to a bacterial infection like strep throat.
C. A urinary tract infection is not typically associated with the development of glomerulonephritis.
D. Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.

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Correct Answer is A

Explanation

A. Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
B. Obtaining an accurate height and weight is important but not as critical as preventing tumor rupture.
C. Monitoring vital signs is essential but not the priority intervention in this context.
D. Assessing the urine for the presence of blood is important for overall assessment but not the most critical intervention compared to avoiding tumor rupture.

A. "Baseball cannot be adapted and it is best if he does not participate." B. "Could you try enrolling him in a music or arts based activity?" C. "Would you like to talk about your decision and discuss alternatives?" D. “That was a good choice. I'm sure he is upset that he cannot play baseball anymore.”

Correct Answer is C

Explanation

A. This response is not supportive and does not consider adaptive sports opportunities that may be available.
B. Suggesting a different activity might be helpful, but it does not address the parents' feelings or provide support for their decision.
C. Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
D. This response does not support the parents' emotional needs or explore other possibilities for the child to stay active.

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A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?

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Naxlex Comprehensive Predictor Exams

For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Correct Answer is A

Explanation

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

Correct Answer is C

Explanation

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