An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22. HR-105, BP= 130/89 Which condition should the nurse suspect?

Acute glomerulonephritis

Renal agenesis

Nephrotic syndrome

Polycystic kidney disease

Answer and Explanation

The Correct Answer is A

A. Acute glomerulonephritis is characterized by the sudden onset of hematuria (reddish-brown urine), proteinuria (4+ protein), and a recent history of streptococcal infection, making it the most likely diagnosis.

B. Renal agenesis is a congenital condition and would not present suddenly with abdominal pain and hematuria.

C. Nephrotic syndrome typically presents with significant proteinuria, but the acute onset of symptoms and recent strep throat history point more toward glomerulonephritis.

D. Polycystic kidney disease usually presents with abdominal or flank pain, hypertension, and hematuria over a more chronic course, not typically after an acute infection.

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Correct Answer is B

Explanation

A. Educating the family about antibiotics is important but not the immediate priority for symptom management.

B. Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.

C. Applying an ice pack can provide some comfort but does not directly address the child's pain as effectively as medication.

D. Providing diversional activities may help occupy the child but is not a direct intervention for the pain associated with acute otitis media.

Correct Answer is ["300"]

Explanation

To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?

Correct Answer is B

Explanation

Correct Answer is ["300"]

Explanation

A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?

Exhibits Which of the following assessment findings should the nurse report to the provider? Select the 6 findings that should be reported to the provider.

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

The nurse is caring for a 2 month old child with a fever of 101.76. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

The parents of a child with hemophilia ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest?

A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?