The admitting nurse understands that which of the following information collect during the assessment of a child recently diagnosed with glomerulonephritis is most often associated with the diagnosis?
A fall of a bike into the handlebars
Streptococcal throat infection 2 weeks ago
Nausea and vomiting for the last 24 hours
Urticaria and itching 2 weeks ago
The Correct Answer is B
A. A fall of a bike into the handlebars is unlikely to be directly associated with glomerulonephritis. Trauma from a fall could potentially cause hematuria, but it is not a common cause of glomerulonephritis.
B. Streptococcal throat infection 2 weeks ago is commonly associated factor with post-streptococcal glomerulonephritis (PSGN). PSGN can occur after an infection of the throat or skin by certain strains of streptococcal bacteria.
C. Nausea and vomiting for the last 24 hours can be present in a child with glomerulonephritis but are not specific to glomerulonephritis.
D. Urticaria and itching are not typically associated with glomerulonephritis. They can be symptoms of allergic reactions or other conditions, but they are not indicative of glomerulonephritis on their own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is used to assess pain in infants and young children who may not be able to verbalize their pain. Each category is scored from 0 to 2, with a total score ranging from 0 to 10.
A. This scale uses facial expressions to depict pain levels and is typically used for children over 3 years old who can point to the face that represents their pain level.
C. Oucher is used for children who can communicate their pain by pointing to photographs of other children in pain. It is not suitable for infants.
D. Visual Analog Scale requires clients to mark their pain level on a line. It is not suitable for infants who cannot communicate their pain verbally or through such methods.
Correct Answer is C
Explanation
A. This statement does not directly relate to meeting the nutritional needs of an infant with heart failure. Also, setting a specific time limit on crying before feeding may not always be practical or effective.
B. Infants with heart failure may have increased energy needs due to the increased work of the heart. Feeding on demand or more frequently may be necessary to meet the infant's nutritional requirements.
C. In heart failure, infants may tire easily during feeding due to fatigue from poor cardiac function. Allowing the baby to feed at their own pace can help prevent exhaustion and ensure adequate intake.
D. Polycose is a carbohydrate supplement that may be used to increase the caloric density of formula or breast milk for infants with heart failure who require additional calories. Adding Polycose to every bottle may not be appropriate.
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