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
A. Booster seats are used for older children who have outgrown their forward-facing car seats. A 24- month-old toddler is typically too young and small for a booster seat.
B. Rear-facing car seats provide the best protection for young children, including toddlers, in the event of a crash.
B. The American Academy of Pediatrics (AAP) recommends keeping children in a rear-facing car seat until they reach the maximum height or weight limit. Rear-facing seats distribute crash forces more evenly across the back of the car seat and the child's body, reducing the risk of injury to the head, neck, and spine.
C. Placing a car seat forward-facing in the front passenger side and inactivating the airbag is not recommended for any child under the age of 13 due to the risk of injury from the airbag in the event of a crash.
D. Placing a car seat rear-facing in the front passenger side is not recommended, especially for a toddler.
Correct Answer is D
Explanation
A. This question is not relevant to the assessment for acute rheumatic fever. ARF is not a congenital cardiac defect but rather an acquired condition resulting from an abnormal immune response to a streptococcal infection.
B. Injuries are not typically associated with the development of acute rheumatic fever. ARF is primarily triggered by an untreated or inadequately treated streptococcal infection, particularly streptococcal pharyngitis.
C. Aspirin use is not a specific question related to the assessment of acute rheumatic fever. Aspirin therapy may be indicated for managing symptoms of ARF, but it is not a diagnostic criterion for the condition.
D. Acute rheumatic fever (ARF) is an autoimmune condition affecting the heart, joints, skin, and central nervous system. It follows an untreated or inadequately treated group A streptococcal infection, particularly streptococcal pharyngitis (strep throat).
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