A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

Temperature 37.2° C (99° F)

No report of pain with voiding

Clear urine

Odorless urine

Answer and Explanation

The Correct Answer is C

A.   A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B.   Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C.   Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D.   Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.

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Correct Answer is A

Explanation

A. This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B. Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.

A. Check the newborn's eyes every 8 hr. B. Place mittens on the newborn's hands. C. Monitor the newborn's temperature every 2 hr. D. Apply lotion to the newborn's skin.

Correct Answer is C

Explanation

Rationale:
A. Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights.
D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.

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A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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