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

Answer and Explanation

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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Correct Answer is D

Explanation

A. This statement is incorrect as there are treatments available for graft versus host disease (GVHD).
B. Chemotherapy is not typically used to treat GVHD.
C. While the oncologist will determine the treatment plan, this response does not provide the parents with helpful information.
D. The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

A. Keep the infant NPO for 6 hours prior the procedure B. Prepare to insert Foley catheter for urine collection C. Hold the infant's chin to his chest and knees to his abdomen during the procedure. D. Place the infant in an infant seat for 2 hours following the procedure.

Correct Answer is C

Explanation

A. Infants do not need to be NPO for 6 hours prior to a lumbar puncture. This is more applicable for procedures requiring sedation or anesthesia.
B. A Foley catheter is not necessary for a lumbar puncture.
C. Holding the infant in the correct position (chin to chest and knees to abdomen) is crucial for obtaining an accurate sample of cerebrospinal fluid and ensuring the procedure is performed safely.
D. Placing the infant in an infant seat post-procedure is not necessary. The infant can be held and comforted by a caregiver.

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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?

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Naxlex Comprehensive Predictor Exams

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