The nurse is evaluating a child with acute glomerulonephritis who presents at the clinic with increased fatigue, facial swelling, and decreased appetite. The child’s urine sample is dark yellow. What additional finding should the nurse report to the healthcare provider?
Blood pressure 88/50 mmHg
Weight loss
Maculopapular rash over the trunk of the body
Positive rapid strep test of the oropharynx
The Correct Answer is D
The correct answer is choice d. Positive rapid strep test of the oropharynx.
Choice A rationale:
Blood pressure of 88/50 mmHg is lower than normal but not typically associated with acute glomerulonephritis. High blood pressure is more common in this condition.
Choice B rationale:
Weight loss is not a typical symptom of acute glomerulonephritis. Instead, fluid retention and weight gain are more common due to edema.
Choice C rationale:
A maculopapular rash over the trunk is not commonly associated with acute glomerulonephritis. This condition usually presents with symptoms like hematuria, proteinuria, and edema.
Choice D rationale:
A positive rapid strep test of the oropharynx indicates a recent streptococcal infection, which is a common cause of acute glomerulonephritis. Reporting this finding is crucial for appropriate management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A fecal-fat test is used to measure the body’s ability to break down and absorb fat. It is not a standard diagnostic test for cystic fibrosis (CF)6.
Choice B rationale
A sweat-chloride test is the standard diagnostic test for CF. People with CF have higher than normal levels of sodium and chloride in their sweat, which can make their skin taste salty.
Choice C rationale
A pulmonary-function test measures how well the lungs work and can be used to monitor lung disease in people with CF. However, it is not a standard diagnostic test for CF, especially in a 2- month-old infant.
Choice D rationale
A potassium chloride test is not a standard diagnostic test for CF6.
Correct Answer is D
Explanation
Choice D rationale
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child’s symptoms.
Choice A rationale
Applying lotion to hands and feet may help with the symptom of skin peeling, but it does not address the underlying issue of the child’s irritability or refusal to eat.
Choice B rationale
While it’s important for parents to rest when possible, this does not directly address the child’s symptoms.
Choice C rationale
Making a list of foods that the child likes could potentially help with the child’s refusal to eat, but it does not address the child’s irritability or skin peeling.
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