The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?

Acute hypertension is a concern that requires frequent monitoring

Blood pressure fluctuations indicate that the condition is becoming chronic

Antibiotic therapy contributes to unstable blood pressure readings

Hypotension can develop at any time and lead to sudden shock

Answer and Explanation

The Correct Answer is A

A. Acute hypertension is a common complication of acute glomerulonephritis and requires frequent monitoring to prevent severe consequences.
B. Blood pressure fluctuations do not necessarily indicate chronic conditions; they can occur acutely.
C. Antibiotic therapy is not typically associated with unstable blood pressure readings in glomerulonephritis.
D. Hypotension is less common than hypertension in acute glomerulonephritis.

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Correct Answer is B

Explanation

A. Decreased urine output and dark brown urine are concerning but not immediately life-threatening.
B. Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
C. Elevated BUN, creatinine, and ESR are indicative of kidney dysfunction but are not as immediately concerning as neurological symptoms.
D. While elevated BP and irritability are concerning, they are not as immediately critical as the neurological symptoms in option B.

A. “Typically, daycare will not allow children back until after the recheck appointment." B. "Your child can return after 24 to 48 hours of antibiotic use. depending on your school." C. "Once the eyes are no longer red or draining, your child will be able to return to school." D. "Your child will need to complete the course of antibiotics before returning to school.”

Correct Answer is B

Explanation

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

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The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?

Nursing Test Bank

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