The nurse has taught the parents of a school-aged child with a newly placed ventriculoperitoneal (VP) shunt to monitor for early signs of shunt malfunction. The nurse determines the parents understand the instructions if they understand they should notify the provider if the child develops which early manifestation?

Lethargy

Seizure activity

Rapid weight gain

Disinterest in attending school

Answer and Explanation

The Correct Answer is A

A. Lethargy is an early sign of increased intracranial pressure (ICP) due to possible shunt malfunction and requires immediate medical attention.

B. Seizure activity can be a late sign of shunt malfunction and is also concerning but lethargy typically appears earlier.

C. Rapid weight gain is less directly related to shunt malfunction and more associated with conditions like hypothyroidism or edema.

D. Disinterest in school could suggest general malaise but is not a specific or early sign of shunt malfunction.

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Correct Answer is A

Explanation

A. Lethargy is an early sign of increased intracranial pressure (ICP) due to possible shunt malfunction and requires immediate medical attention.

B. Seizure activity can be a late sign of shunt malfunction and is also concerning but lethargy typically appears earlier.

C. Rapid weight gain is less directly related to shunt malfunction and more associated with conditions like hypothyroidism or edema.

D. Disinterest in school could suggest general malaise but is not a specific or early sign of shunt malfunction.

A. Decreased urine specific gravity B. Hypotension C. Positive antistreptolysin O titer D. Low blood urea nitrogen and creatinine

Correct Answer is C

Explanation

A. Decreased urine specific gravity is not typical; rather, increased specific gravity may be noted due to concentrated urine.

B. Hypotension is not usually associated with acute glomerulonephritis; hypertension is more common due to fluid retention and renal impairment.

C. A positive antistreptolysin O titer indicates a recent streptococcal infection, which is often the cause of post-streptococcal glomerulonephritis.

D. Elevated blood urea nitrogen (BUN) and creatinine levels are expected due to impaired kidney function, not low levels.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is reviewing the medical record of a pediatric client suspected to have acute glomerulonephritis. What finding should the nurse expect to note in a client with this diagnosis?

Correct Answer is C

Explanation

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?

A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

A nurse is providing teaching to a parent of a preschooler who has eczema. What instruction should the nurse include in the discharge teaching?

A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

During a well-check for a 12-month-old, the nurse plans to administer the first dose of the varicella vaccine. What is an appropriate action for the nurse to take?

In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

The nurse is reviewing the immunization schedule with the parent of a child who is positive for human immunodeficiency virus (HIV). What statement by the parents indicates that teaching has been effective?

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?