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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Using a disposable moist wipe to remove eye crusts can be helpful, but it’s not the most important instruction for caregivers. The crusts are a symptom of the infection, and while removing them can make the child more comfortable, it doesn’t address the underlying issue.
Choice B rationale
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then.
Choice C rationale
While it’s important to keep the eye area clean, wiping towards the opposite eye could potentially spread the infection. Therefore, this is not the best advice for caregivers.
Choice D rationale
Discontinuing the ointment once drainage resolves could lead to an incomplete treatment of the infection. It’s crucial to use the ointment for the full course of treatment as prescribed by the healthcare provider, even if symptoms seem to improve.

A. Enalapril B. Digoxin C. Furosemide D. Hydralazine

Correct Answer is B

Explanation

Choice A rationale
Enalapril is an angiotensin-converting enzyme (ACE) inhibitor commonly used in the treatment of heart failure. It works by widening blood vessels, which reduces the workload of the heart and helps keep heart failure from getting worse. In the given scenario, there is no specific indication to hold Enalapril based on the infant’s vital signs.
Choice B rationale
Digoxin is a medication that can help the heart beat stronger with a more regular rhythm. However, it is important to monitor the patient’s heart rate when administering Digoxin, as it can lower the heart rate. In this case, the infant’s apical pulse is 88 beats/minute, which is lower than the normal range for an eight-month-old infant (normal range: 100-160 beats/minute). Therefore, the nurse should hold the Digoxin and inform the healthcare provider.
Choice C rationale
Furosemide is a diuretic that helps the kidneys get rid of extra fluid that may build up in the body. It is often used in the treatment of heart failure to relieve symptoms such as fluid retention. In the given scenario, there is no specific indication to hold Furosemide based on the infant’s vital signs.
Choice D rationale
Hydralazine is a medication used to treat high blood pressure. It works by relaxing and widening blood vessels so blood can flow more easily. In the given scenario, there is no specific indication to hold Hydralazine based on the infant’s vital signs.

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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?

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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