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The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?

Weigh the child in the same clothes she had been weighed in the day before and report the two weights to the nurse while the nurse is on the phone.

Give the child fluids and report back to the nurse in a few hours.

Give the child a diuretic and report back to the nurse in a few hours.

Take the child’s blood pressure and report the findings to the nurse while the nurse is still on the phone.

Answer and Explanation

The Correct Answer is D

Choice A reason: Weighing the child monitors fluid retention but is less urgent than blood pressure, which assesses hypertensive encephalopathy risk post-convulsion in glomerulonephritis. Immediate blood pressure data guides treatment, making this secondary and incorrect compared to evaluating the child’s neurological status after a seizure.

Choice B reason: Giving fluids without guidance risks worsening fluid overload in glomerulonephritis, and delayed reporting is unsafe post-convulsion. Blood pressure assessment is critical, making this inappropriate and incorrect compared to the urgent need for immediate data to address the child’s seizure episode effectively.

Choice C reason: Administering a diuretic without provider orders is unsafe post-convulsion, as it may not address the seizure’s cause. Blood pressure evaluation informs treatment, making this risky and incorrect compared to the priority of assessing hypertension in the child with glomerulonephritis immediately.

Choice D reason: Taking blood pressure post-convulsion assesses for hypertension, a common seizure cause in glomerulonephritis, guiding urgent treatment. Reporting immediately ensures timely intervention, aligning with pediatric nephrology protocols, making this the correct action for the caregiver to take in this emergency situation.

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Correct Answer is D

Explanation

Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.

Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.

Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.

Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.

A. “Try having her eat with the family and she will want what others are eating.” B. “It is important that each time she eats, she has a variety of foods.” C. “Food jags are common in this age. This probably won’t last long.” D. “She should be discouraged from having food likes or dislikes. Have her eat everything.”

Correct Answer is C

Explanation

Choice A reason: Eating with family may encourage variety but does not address the normalcy of food jags in 6-year-olds. Reassuring about their transient nature reduces caregiver stress, making this less direct and incorrect compared to normalizing the child’s selective eating behavior for the concerned caregiver.

Choice B reason: Insisting on variety at every meal may escalate mealtime stress, as food jags are normal and temporary in 6-year-olds. Acknowledging their common occurrence is more supportive, making this pressuring and incorrect for addressing the caregiver’s nutritional concern about the child’s eating habits.

Choice C reason: Food jags, where a child fixates on one food, are common at age 6 and typically resolve naturally. Reassuring the caregiver reduces anxiety and aligns with pediatric nutrition guidance, making this the prioritized response to address concerns about the child’s nutrition and eating patterns.

Choice D reason: Discouraging food preferences risks mealtime conflicts, as food jags are developmentally normal. Normalizing their temporary nature supports the caregiver without forcing the child, making this unhelpful and incorrect compared to reassuring about the common, transient behavior in 6-year-olds.

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The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

Correct Answer is C

Explanation

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