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A nurse is assisting in the care of a 6-year-old child.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should identify that the child is at risk for

due to

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

  • A. Acute glomerulonephritis is a condition that can develop following a streptococcal infection, leading to inflammation of the kidneys. Symptoms like puffiness around the eyes, tea-colored urine, and lethargy are indicative of this disease.
  • 1) Recent strep infection and the presence of tea-colored urine are key indicators of acute glomerulonephritis. The tea-colored urine suggests hematuria, which is often associated with this condition after a streptococcal infection.


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Related Questions

Correct Answer is C

Explanation

A. Administering cold formula directly from the refrigerator can cause gastric discomfort and cramping. Formula should be warmed to room temperature before administration.

B. Administering the feeding at a rate of 3 mL/min is too slow for a preschooler. The appropriate rate should be determined based on the child’s tolerance and provider instructions. Continuous feedings are usually given via a pump, while bolus feedings are given over 15–30 minutes.

C. Elevating the head of the bed to a 45-degree angle is the correct action because it helps prevent aspiration and promotes proper digestion. Keeping the child in an upright position during and after the feeding is essential for safety.

D. Discarding residual fluid aspirated from the stomach prior to the feeding is incorrect. Gastric residual volume (GRV) should be measured, but unless it is excessive (per facility protocol), it is usually returned to prevent loss of electrolytes and digestive enzymes.

Correct Answer is D

Explanation

A. BUN (blood urea nitrogen) is incorrect. While BUN is used to assess kidney function, it is not a primary test for juvenile idiopathic arthritis (JIA). BUN levels are more relevant in conditions affecting renal function.

B. Potassium is incorrect. Potassium levels are typically monitored for electrolyte imbalances or conditions affecting the heart and kidneys, but they are not a key indicator of JIA.

C. Alanine aminotransferase (ALT) is incorrect. ALT is a liver enzyme used to assess liver function, but it is not directly related to diagnosing JIA. Liver function tests may be relevant if the patient is taking medications that affect the liver, but they are not part of the standard diagnostic workup for JIA.

D. Erythrocyte sedimentation rate (ESR) is correct. ESR is an inflammatory marker that helps assess the level of inflammation in the body. Since JIA is an inflammatory autoimmune disorder, ESR is often elevated and used to monitor disease activity and response to treatment.

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