A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child’s history, what does the nurse recognize as the probable cause?
Recovery from German measles 2 months ago
Dysuria
A sore throat 2 weeks ago
A history of allergy
The Correct Answer is C
A. Recovery from German measles 2 months ago: German measles (rubella) is not associated with glomerulonephritis.
B. Dysuria: While dysuria is a symptom of urinary tract infections, it does not directly cause glomerulonephritis.
C. A sore throat 2 weeks ago: Acute glomerulonephritis often follows a streptococcal infection, such as strep throat, typically within 1-3 weeks.
D. A history of allergy: Allergies are not a causative factor for glomerulonephritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Educate the parents about potential complications: While education is important, it is not the immediate priority.
B. Maintain a saline lock: Maintaining IV access is essential but does not directly address fluid balance, the primary concern.
C. Place the child on a no-salt-added diet: While reducing salt helps control edema, daily weight monitoring is more immediate for assessing fluid retention.
D. Check the child's weight daily: Monitoring weight is the most sensitive indicator of fluid retention and is crucial for evaluating the child's response to treatment.
Correct Answer is D
Explanation
A. Counting the number of wet diapers every shift: While useful, daily weight provides a more precise measure of fluid balance.
B. Taking the infant's vital signs every 2 hr: Vital signs alone do not provide as direct a measure of fluid balance as daily weight.
C. Measuring the infant's head circumference twice per day: Head circumference is unrelated to hydration status.
D. Weighing the infant at the same time every day: Daily weight is the most accurate indicator of fluid status in infants.
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