The admitting nurse understands that which of the following information collect during the assessment of a child recently diagnosed with glomerulonephritis is most often associated with the diagnosis?
A fall of a bike into the handlebars
Streptococcal throat infection 2 weeks ago
Nausea and vomiting for the last 24 hours
Urticaria and itching 2 weeks ago
The Correct Answer is B
A. A fall of a bike into the handlebars is unlikely to be directly associated with glomerulonephritis. Trauma from a fall could potentially cause hematuria, but it is not a common cause of glomerulonephritis.
B. Streptococcal throat infection 2 weeks ago is commonly associated factor with post-streptococcal glomerulonephritis (PSGN). PSGN can occur after an infection of the throat or skin by certain strains of streptococcal bacteria.
C. Nausea and vomiting for the last 24 hours can be present in a child with glomerulonephritis but are not specific to glomerulonephritis.
D. Urticaria and itching are not typically associated with glomerulonephritis. They can be symptoms of allergic reactions or other conditions, but they are not indicative of glomerulonephritis on their own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Turning and repositioning the client at regular intervals is essential for preventing pressure ulcers in pediatric clients, especially those in the PICU who may be immobilized or have limited mobility due to their condition or treatment. Repositioning helps relieve pressure on bony prominences and redistributes pressure on the skin, reducing the risk of pressure ulcers. Turning schedules should be individualized based on the child's condition, mobility, and risk factors for pressure ulcers.
A. Avoid the use of a draw sheet when turning: Using a draw sheet can facilitate safe and smooth turning of the client without causing shear or friction forces. It helps distribute the weight evenly and reduces the risk of injury to the client or caregiver during the turning process. Therefore, avoiding the use of a draw sheet may increase the risk of pressure ulcers rather than prevent them.
B. Post a turning schedule at the client's bedside: While posting a turning schedule may serve as a reminder for staff, it alone does not provide direct intervention to prevent pressure ulcers. The crucial aspect is implementing the turning schedule consistently and ensuring that the client is repositioned at appropriate intervals.
C. Vigorously massage lotion into bony prominences: Massaging lotion into bony prominences can increase friction and shear forces on the skin, potentially causing tissue damage rather than preventing pressure ulcers. Additionally, vigorous massage may be uncomfortable or painful for the client, especially if they have fragile skin or existing pressure ulcers.
Correct Answer is B
Explanation
Red marks across the cheeks can be indicative of various conditions, including skin irritation, allergies, or infections. Before jumping to conclusions or taking further actions, the nurse should conduct a thorough assessment of the child's overall condition. Assessing the rest of the child's body for any additional signs or symptoms, such as a rash or other skin abnormalities, can provide more information about the cause of the red marks on the cheeks. Depending on the findings of the assessment, further action may be necessary, such as questioning the parents about potential causes or referring the family to appropriate services if there are concerns about the child's well-being. However, the initial step should be to assess the child's condition comprehensively.
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