The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign did the child most likely exhibit?
Hematuria.
Weight loss.
Polydipsia.
A sore throat.
The Correct Answer is D
Acute glomerulonephritis is a type of kidney disease that can develop after an infection such as strep throat. A sore throat is a common symptom of strep throat and could have been the sign that motivated the parents to seek medical care for their child.
Hematuria (A) is the presence of blood in the urine and can be a symptom of acute glomerulonephritis, but it is not the most likely sign that originally motivated the parents to seek medical care. Weight loss (B) and polydipsia (C), which is excessive thirst, are not typically associated with acute glomerulonephritis or strep throat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the PN should take is to check the client's serum human chorionic gonadotropin (hCG) level. This hormone is produced by the placenta and can provide important information about the viability of the pregnancy.
Option B, verifying the date of the last menstrual cycle, can provide useful information about the gestational age of the pregnancy but is not the first priority.
Option C, repeating a urine pregnancy test, can confirm the presence of a pregnancy but does not provide information about its viability.
Option D, inquiring about the last occurrence of intercourse, is not relevant to addressing the client's immediate concern of vaginal bleeding.
Correct Answer is A
Explanation
Restlessness, confusion, and agitation in the evening are common symptoms of sundowning, which is a condition that affects some older adults with dementia. Offering to walk around the hallways with the client can provide a calming effect and reduce the symptoms of sundowning.
Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.
Measuring the client's vital signs may not be necessary unless there are specific medical concerns.
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