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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Symptoms of UTI: While UTIs can cause secondary enuresis, this option does not define the condition of persistent bed-wetting since birth.
B. Gastroesophageal Reflux: This is unrelated to bed-wetting.
C. Regressing behavior: Regressive behavior applies to children who revert to bed-wetting after being continent, which defines secondary enuresis.
D. Primary enuresis: This refers to children who have never achieved nighttime dryness for an extended period.

A. Collect a stool sample from the toddler B. Determine if the toddler is voiding C. Initiate isotonic fluids with 20 mEq/L potassium chloride D. Request evaluation of the toddler’s serum electrolytes

Correct Answer is B

Explanation

A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.

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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?

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Naxlex Comprehensive Predictor Exams

A child who has never been free of bed-wetting for any extended period of time is defined as?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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