A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?
History of a runny nose and itchy eyes within the last week
Treatment for a viral illness within the last seven days
Treatment for a urinary tract infection within the last ten days
Treatment for strep throat within the last two weeks
The Correct Answer is D
A. A history of runny nose and itchy eyes is more indicative of an allergic reaction, not glomerulonephritis.
B. A viral illness is less likely to cause glomerulonephritis compared to a bacterial infection like strep throat.
C. A urinary tract infection is not typically associated with the development of glomerulonephritis.
D. Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.
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Related Questions
Correct Answer is D
Explanation
A. This statement is not appropriate as the nurse is required to report any suspected abuse and cannot promise confidentiality.
B. This statement is too direct and may make the child feel uncomfortable or threatened.
C. This statement places blame and is not supportive or therapeutic.
D. Reassuring the child that they are not to blame is supportive and helps to build trust.
Correct Answer is B
Explanation
A. It is inappropriate to dismiss suspicions of abuse based on the assumption that toddlers frequently fall and have multiple injuries.
B. The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
C. While discussing findings with the physician can be part of the process, it does not take precedence over the mandatory reporting of suspected abuse.
D. Confronting the caregivers directly is not appropriate and may put the child at further risk.
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