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 C
Explanation
A. Monitor blood glucose level every 4 hr:
Blood glucose monitoring is not routinely indicated for glomerulonephritis unless the child has diabetes or is receiving corticosteroids.
B. Strain the urine:
Straining urine is appropriate for renal calculi (kidney stones), not glomerulonephritis.
C. Obtain a daily weight:
Daily weights are the most accurate method of monitoring fluid balance in children with acute glomerulonephritis. These clients are at risk for fluid overload due to decreased kidney function.
D. Recommend strict bed rest:
Strict bed rest is no longer routinely recommended for glomerulonephritis. Activity should be as tolerated.
Correct Answer is ["A","D","E"]
Explanation
A. The incident should have no impact on the child's intelligence, memory, or behavior:
Febrile seizures are benign and typically do not cause long-term neurological problems.
B. The child will need antiepileptic therapy for at least one year:
Febrile seizures are usually self-limiting and do not require long-term antiepileptic therapy unless seizures are complex or recurrent without fever.
C. They should purchase a bite block for use at home:
Bite blocks should never be used during a seizure because they can cause injury or choking.
D. If a seizure occurs again at home, the child should be placed on their side:
Placing the child on their side helps maintain an open airway and reduces the risk of aspiration.
E. There is a chance that this will recur during a febrile illness:
Febrile seizures can recur, especially if the child has another fever in the future.
F. Antipyretic therapy during febrile illnesses will prevent this from occurring again:
Antipyretics can make the child more comfortable but do not prevent febrile seizures.
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