An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22. HR-105, BP= 130/89 Which condition should the nurse suspect?

Acute glomerulonephritis

Renal agenesis

Nephrotic syndrome

Polycystic kidney disease

Answer and Explanation

The Correct Answer is A

A. Acute glomerulonephritis is characterized by the sudden onset of hematuria (reddish-brown urine), proteinuria (4+ protein), and a recent history of streptococcal infection, making it the most likely diagnosis.

B. Renal agenesis is a congenital condition and would not present suddenly with abdominal pain and hematuria.

C. Nephrotic syndrome typically presents with significant proteinuria, but the acute onset of symptoms and recent strep throat history point more toward glomerulonephritis.

D. Polycystic kidney disease usually presents with abdominal or flank pain, hypertension, and hematuria over a more chronic course, not typically after an acute infection.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Removing nits with a fine-tooth comb is a crucial step in managing head lice to prevent re-infestation.

B. Washing bedding and clothing in hot water or sealing non-washable items helps eliminate lice and nits from the environment.

C. Soaking combs and brushes in hot water with shampoo helps ensure that any lice or nits on the grooming tools are eradicated.

D. All of the provided options are appropriate measures for managing pediculosis capitis effectively.

A. "She might lose some weight initially” B. “This drug helps to control the abdominal cramping” C. "We should not stop this medication abruptly” D. "We might notice some of the medication in her stool”

Correct Answer is C

Explanation

A. Weight loss may occur with acute exacerbations but is not a guaranteed effect of prednisone therapy.

B. Prednisone does help reduce inflammation but does not directly relieve abdominal cramping; this statement may reflect a misunderstanding of its action.

C. This statement indicates a clear understanding of the need for gradual tapering of prednisone to prevent withdrawal symptoms and rebound exacerbation.

D. Noticing some medication in the stool is not a common or expected effect of prednisone and may indicate a misunderstanding of how the drug works.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing management of pediculosis capitis with the parents of school age children during a presentation in addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?

Correct Answer is D

Explanation

A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?

Correct Answer is C

Explanation

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)

The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure

A child with a brain tumor has a decreased respiratory hate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour. What should the nurse do next?

A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by a parent would indicate a need for additional education?

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

A nurse is planning care for an adolescent client. Exhibits Which of the following actions should the nurse plan to take? (Select all that apply.)

The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?