Nokea
Which best describes acute glomerulonephritis?
- A. Occurs after a urinary tract infection
- B. Occurs after a streptococcal infection
- C. Associated with renal vascular disorders
- D. Associated with structural anomalies of genitourinary tract
Correct Answer: B
Rationale: Acute glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly Group A beta-hemolytic streptococcal infection such as strep throat or impetigo. The infection triggers an abnormal immune response leading to inflammation of the glomeruli in the kidneys. This inflammation impairs the kidneys' ability to filter waste and excess fluids from the blood, resulting in symptoms such as hematuria (blood in urine), proteinuria (protein in urine), hypertension, and edema. Other causes such as renal vascular disorders, structural anomalies of the genitourinary tract, or urinary tract infections are not typically linked to acute glomerulonephritis.
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The BEST implication of a 6-month-old baby's visuomotor coordination is
- A. voluntary release of objects
- B. comparison ability of small objects
- C. increasing ability to explore objects
- D. autonomy of actions
Correct Answer: A
Rationale: Voluntary release is a key milestone in visuomotor coordination at this age.
Which nursing intervention is appropriate for the nurse to take when setting up supplies for a client who requires a blood transfusion?
- A. Add any needed IV medication in the blood bag within one hour of planned infusion
- B. Obtain blood bag from laboratory and leave at room temperature for at least one hour prior to infusion
- C. Prime tubing of blood administration set with 0.9% NS solution, completely, filling filter
- D. Inadequate dietary intake
Correct Answer: C
Rationale: When setting up supplies for a client who requires a blood transfusion, the appropriate nursing intervention is to prime the tubing of the blood administration set with 0.9% NS solution completely, filling the filter. This is essential to ensure that the blood components flow smoothly through the tubing and any potential air bubbles are removed in order to prevent air embolism and ensure the safety of the blood transfusion process. Option A is not correct because adding IV medication in the blood bag is not a standard practice and can compromise the integrity of the blood product. Option B is also incorrect as blood products should be stored and maintained at specific temperatures to prevent spoilage or contamination; leaving it at room temperature is not advised. Option D is unrelated to setting up supplies for a blood transfusion and addresses inadequate dietary intake, which is a different nursing concern than the preparation of blood transfusion supplies.
What should a nursing intervention to promote parent-newborn attachment include?
- A. Delaying parent-newborn interactions until the second period of reactivity
- B. Explaining individual differences among newborns to the parents
- C. Alleviating stress for parents by decreasing their participation in the newborn's care
- D. Allowing a newborn to fuss for a period of time before soothing by holding
Correct Answer: B
Rationale: A nursing intervention to promote parent-newborn attachment should include explaining individual differences among newborns to the parents. This is important because understanding a newborn's unique characteristics, behaviors, and needs can help parents feel more confident and responsive in caring for their baby. By educating parents about individual differences, nurses can empower them to create a strong bond with their newborn and provide appropriate care based on the baby's specific cues and signals. This can lead to a positive and nurturing parent-newborn relationship, which is crucial for the baby's development and well-being.
A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child's vision, the nurse should ask:
- A. "Do you have any problems seeing different colors?"
- B. "Do you have trouble seeing at night?"
- C. "Do you have problems with glare?"
- D. "How are you doing in school?"
Correct Answer: A
Rationale: Asking the child if they have any problems seeing different colors is a suitable way to assess their vision during a routine checkup. Issues with colors can indicate potential color blindness or other vision problems. Asking about night vision (choice B) or glare (choice C) might be more relevant in specific situations or with older patients. Inquiring about their performance in school (choice D) could provide information related to vision but is not as direct and specific as asking about color vision.
While managing a client after a medical or surgical procedure for bladder stones, for what rise in the temperature should the nurse notify the physician?
- A. When the temperature rises above 101F
- B. When the temperature rises above 100F
- C. When the temperature rises above 102F
- D. When the temperature rises above 99F
Correct Answer: C
Rationale: A rise in temperature is concerning after a medical or surgical procedure as it can indicate infection or other complications. A temperature above 102F is typically considered a significant fever, especially in the postoperative period. It is essential to notify the physician promptly to assess the patient's condition and provide appropriate interventions to address the underlying cause of the fever.