What is the probable cause recognized by the nurse when a 5-year-old boy is admitted to the hospital with acute glomerulonephritis?
- A. Recovery from German measles 2 months ago
- B. Dysuria since the previous night
- C. A history of allergy
- D. A sore throat 2 weeks ago
Correct Answer: D
Rationale: Acute glomerulonephritis typically develops 1 to 3 weeks after a streptococcal infection, such as a sore throat, which triggers an allergic-type response that affects the glomeruli's function. This immune response leads to inflammation and damage to the glomeruli, resulting in acute glomerulonephritis.
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Upper respiratory infections (URI) in children may increase the risk of reactive airway disease. Which of the following is NOT a typical feature of URI?
- A. Fever
- B. Clear rhinorrhea
- C. Injected sclerae
- D. Productive cough
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
- A. three month
- B. eight month
- C. one year
- D. three year
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?
- A. I should buy some plastic shoes to wear at the swimming pool
- B. I should wear sandals as much as possible
- C. I should place the permethrin cream between my toes twice daily
- D. I should seal my non-washable shoes in plastic bags for a couple of weeks
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement best describes the recommended approach to increase participation as the focus of intervention with children and youth?
- A. Remediate areas of concern and the child's limitations
- B. Intervene with family and friends to interact differently with the child
- C. Promote the child's strengths and allow the child to accommodate challenges
- D. Evaluate the child's areas of competence and achievement, along with challenges
Correct Answer: D
Rationale: The recommended approach to intervention with children and youth focuses on evaluating the child's areas of competence and achievement, along with challenges. By understanding the child's strengths and competencies, interventions can be tailored to build upon these existing positive attributes. This approach fosters a positive self-image and encourages further development by capitalizing on the child's strengths.
Upper respiratory infections (URI) in children may increase the risk of reactive airway disease. Which of the following is NOT a typical feature of URI?
- A. Fever
- B. Clear rhinorrhea
- C. Injected sclerae
- D. Productive cough
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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