What should the nurse caring for a 6-year-old child with acute glomerulonephritis anticipate as the most difficult part of the care to implement?
- A. Forced fluids
- B. Increased feedings
- C. Bed rest
- D. Frequent position changes
Correct Answer: C
Rationale: During the acute phase of glomerulonephritis, bed rest is usually recommended. A diet of restricted fluid, sodium, potassium, and phosphate is initially required. Bed rest can be very hard to implement with an active 6-year-old child.
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What are early signs of varicella disease?
- A. High fever over 101°F (38.3°C)
- B. General malaise
- C. Increased appetite
- D. Crusty sores
Correct Answer: B
Rationale: Early signs of varicella will develop during the prodromal period and are mainly low-grade fever, malaise, and anorexia. Lesions do not appear until later.
The nurse anticipates that the cerebrospinal fluid (CSF) taken from a child with bacterial meningitis would have a low
Correct Answer: glucose
Rationale: The glucose level in the CSF of a child with bacterial meningitis is low because the bacteria in the fluid have digested the glucose.
When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?
- A. Malnutrition
- B. Anemia
- C. Bone pain
- D. Diarrhea
Correct Answer: B
Rationale: When the amount of lead ingested exceeds the amount that can be absorbed by the bone, it leads to anemia.
How should the nurse measure urinary output for an infant with dehydration?
- A. Attaching a urine collecting bag
- B. Wringing out the diaper
- C. Weighing the diaper
- D. Inserting a catheter
Correct Answer: C
Rationale: Wet diapers are weighed to assess the amount of output.
What is the most common method of attempted suicide?
- A. Hanging
- B. Drug overdose
- C. Gunshot
- D. Slashing the wrists
Correct Answer: B
Rationale: Drug overdose is the most common method of attempted suicide.
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