A nurse is caring for a child in a pediatrician's office.
The nurse should recognize that the findings in the EMR are consistent with
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Correct answers: The nurse should recognize that the findings in the EMR are consistent with acute glomerulonephritis as evidenced by urinalysis.
Rationale for correct answers:
Acute Glomerulonephritis (AGN): AGN is a known complication that can occur 1–2 weeks after a streptococcal infection (positive strep test a week ago). The child now has periorbital edema, hypertension (BP 141/88), lethargy, and tea-colored urine- all classic signs.
The urinalysis shows proteinuria, hematuria, and cloudy tea-colored urine, which are hallmark findings in AGN.
Rationale for incorrect answers:
Urinary tract infection: Typically causes dysuria, urgency, frequency, and often a positive leukocyte esterase or nitrites.
Mononucleosis: Would show lymphadenopathy, sore throat, and fatigue but is not consistent with current urinary findings or hypertension.
A delayed allergic reaction: Would be more likely to present with urticaria, pruritus, or respiratory compromise.
Congestive heart failure: Rare in children with no cardiac history and wouldn't explain the urinalysis findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give the infant liquids using a small spoon with a long handle:
Post-op, feeding should avoid utensils or anything that could injure the surgical site. Specialized nipples are often used.
B. Apply elbow restraints to the infant.
Elbow restraints prevent the infant from touching or damaging the surgical site, promoting healing.
C. Gently check the infant's suture line using a padded tongue depressor:
Directly touching the suture line can damage the repair and should be avoided unless specifically ordered.
D. Place the infant in a supine position:
After cleft palate repair, positioning should promote airway protection (often side-lying or upright, not flat on the back).
Correct Answer is A
Explanation
A. Droplet
Pertussis (whooping cough) is transmitted via respiratory droplets. Droplet precautions (mask, private room if possible) are essential to prevent spread.
B. Contact
Contact precautions are for pathogens spread via direct touch (e.g., C. difficile, RSV), not primarily droplet-borne infections like pertussis.
C. Airborne
Airborne precautions are for diseases like tuberculosis, measles, and varicella. Pertussis does not require negative pressure rooms.
D. Protective environment
This is for immunocompromised clients (e.g., stem cell transplant patients) to protect them from pathogens-not to prevent them from infecting others.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.