The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?

"Has your child had any diarrhea?"

"Have you noticed any rashes on your child?"

"Did your child sustain any injuries to the kidney area?"

"Did your child recently complain of a sore throat?"

Answer and Explanation

The Correct Answer is D

A. "Has your child had any diarrhea?" Diarrhea is not typically associated with glomerulonephritis.
B. "Have you noticed any rashes on your child?" Rashes are not typically associated with glomerulonephritis.
C. "Did your child sustain any injuries to the kidney area?" Direct kidney trauma is not a common cause of glomerulonephritis in children.
D. "Did your child recently complain of a sore throat?" Poststreptococcal glomerulonephritis (a common cause of acute glomerulonephritis in children) often follows a streptococcal throat or skin infection. Asking about a recent sore throat can provide important information about a possible streptococcal infection.

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Correct Answer is D

Explanation

A. Maintain a saline-lock.Maintaining a saline lock is important for potential intravenous access, but it is not the most urgent priority compared to actions that directly monitor the child's condition and help manage the disease.
B. Parental education is important for long-term management and understanding of the condition, but it is not the most immediate priority in the acute phase of the illness.
C. A no-salt-added diet is important to help manage fluid retention and hypertension, which are common in acute glomerulonephritis. However, while important, it does not take immediate priority over assessing the child's fluid status.
D. Monitoring daily weight is crucial in acute glomerulonephritis, as it helps assess fluid balance and detect early signs of fluid retention or worsening kidney function, which are key concerns in this condition. This makes it a priority action.

A. Rehydrate. B. Assess fluid balance. C. Maintain fluid therapy. D. Introduce a regular diet.

Correct Answer is A

Explanation

A. Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening.
B. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy.
C. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration.
D. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.

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The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

Correct Answer is A

Explanation

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