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

Answer and Explanation

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.

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Correct Answer is A

Explanation

The apex of the heart (apical pulse) is the preferred site for assessing the heart rate in infants. It is located at the point of maximal impulse (PMI).

A. "I give my child ibuprofen when his muscles are aching." B. "I am encouraging my child to drink grapefruit juice." C. "I am leaving a humidifier on in my child's room when he naps." D. "I give my child aspirin to reduce his fever."

Correct Answer is D

Explanation

A. Ibuprofen is not associated with Reye syndrome. It is a non-steroidal anti-inflammatory drug (NSAID) often used to relieve pain and reduce fever in children.

B. Grapefruit juice does not increase the risk of Reye syndrome. However, it can interact with various medications, altering their effectiveness.
C. Using a humidifier can help ease symptoms of influenza by keeping the air moist, and it does not increase the risk of Reye syndrome.
D. This statement indicates an increased risk for Reye syndrome. Aspirin, or salicylate-containing medications, should be avoided in children and teenagers recovering from viral infections like influenza due to the associated risk of Reye syndrome.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

Correct Answer is A

Explanation

A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?

Correct Answer is D

Explanation

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