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?

Decreased urine specific gravity

Hypotension

Positive antistreptolysin O titer

Low blood urea nitrogen and creatinine

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

A. Notify your child's healthcare provider if NSAIDs are ineffective. B. Apply cool compresses to relieve swollen joints. C. Encourage your child to take a 45-minute daily nap. D. Recommended exercises, such as running, are encouraged to promote range of motion.

Correct Answer is A

Explanation

A. If NSAIDs (nonsteroidal anti-inflammatory drugs) are ineffective in managing symptoms of JIA, the healthcare provider needs to be notified as other treatments, such as disease-modifying antirheumatic drugs (DMARDs) or biologics, may be necessary.

B. Warm compresses, rather than cool compresses, are typically recommended to relieve joint pain and stiffness in JIA.

C. While rest is important, excessive napping can lead to stiffness and decreased mobility. Regular, gentle activity is encouraged to maintain joint function.

D. High-impact exercises like running may be too strenuous for children with JIA and can exacerbate joint pain. Low-impact activities such as swimming or cycling are generally recommended to promote range of motion without putting undue stress on the joints.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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