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
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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Related Questions
Correct Answer is B
Explanation
A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.
B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.
C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.
D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
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Aspirin is used in the management of Kawasaki disease to address inflammation and reduce fever. It is also used to prevent coronary artery complications, as it has antiplatelet effects that help mitigate the risk of thrombus
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