A 15-year-old has been diagnosed with acute glomerulonephritis and has been in the hospital
for 1 day. Which of the following findings requires immediate action?
Large amount of generalized edema.
1. B
2. Urine specific gravity of 1.030.
3. Large amount of albumin in the urine.
4. 24-hour output of 1,500 mL.
Which of the following meals would be most appropriate for a 15-year-old with glomeru-
lonephritis with severe hypertension?
Egg noodles, hamburger, canned peas, milk.
1. C
2. Baked ham, baked potato, pear, canned carrots, milk.
3. Baked chicken, rice, beans, orange juice.
4. Hot dog on a bun, corn chips, pickle, cookie, milk.
A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse
should immediately:
Put the client to bed.
1. B
2. Obtain the child's blood pressure.
3. Notify the physician.
4. Administer acetaminophen (Tylenol).
Which of the following questions should the nurse ask first when obtaining a history from the
mother of a 10-year-old child with a fever, malaise, and swelling around the eyes?
"Has the child had a sore throat recently?"
1. C
2. "Is the child playing with friends as usual?"
3. "Does the child urinate as much as usual?"
4. "Is the urine pale in color?"
A school-age client admitted to the hospital because of decreased urine output and periorbital
edema is diagnosed with acute poststreptococcal glomerulonephritis. Which of the following
actions should receive the highest priority?
1. Assessing vital signs every 4 hours. C
2. Monitoring intake and output every 12 hours.
3. Obtaining daily weight measurements.
4. Obtaining serum electrolyte levels daily.
When developing the plan of care for a school-age child with acute poststreptococcal
glomerulonephritis who has a fluid restriction of 1,000 mL/day, which of the following fluids
should the nurse consider as most appropriate for the client's condition and ettective for
preventing excessive thirst?
B
1. Diet cola.
2. Ice chips.
3. Lemonade.
4. Tap water.
The nurse is planning interventions for a school-aged child in need of diversional activity.
Which of the following activities should the nurse expect to include?
Playing a card game with someone the same age.
1. A
2. Putting together a puzzle with mother.
3. Playing video games with a 4-year-old.
4. Watching a movie with a younger brother.
A 10-year-old child hospitalized with acute poststreptococcal glomerulonephritis during the
acute stage has elevated blood pressure and low urine output for 14 hours. The nurse should
next:
1/2
for 1 day. Which of the following findings requires immediate action?
Large amount of generalized edema.
1. B
2. Urine specific gravity of 1.030.
3. Large amount of albumin in the urine.
4. 24-hour output of 1,500 mL.
Which of the following meals would be most appropriate for a 15-year-old with glomeru-
lonephritis with severe hypertension?
Egg noodles, hamburger, canned peas, milk.
1. C
2. Baked ham, baked potato, pear, canned carrots, milk.
3. Baked chicken, rice, beans, orange juice.
4. Hot dog on a bun, corn chips, pickle, cookie, milk.
A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse
should immediately:
Put the client to bed.
1. B
2. Obtain the child's blood pressure.
3. Notify the physician.
4. Administer acetaminophen (Tylenol).
Which of the following questions should the nurse ask first when obtaining a history from the
mother of a 10-year-old child with a fever, malaise, and swelling around the eyes?
"Has the child had a sore throat recently?"
1. C
2. "Is the child playing with friends as usual?"
3. "Does the child urinate as much as usual?"
4. "Is the urine pale in color?"
A school-age client admitted to the hospital because of decreased urine output and periorbital
edema is diagnosed with acute poststreptococcal glomerulonephritis. Which of the following
actions should receive the highest priority?
1. Assessing vital signs every 4 hours. C
2. Monitoring intake and output every 12 hours.
3. Obtaining daily weight measurements.
4. Obtaining serum electrolyte levels daily.
When developing the plan of care for a school-age child with acute poststreptococcal
glomerulonephritis who has a fluid restriction of 1,000 mL/day, which of the following fluids
should the nurse consider as most appropriate for the client's condition and ettective for
preventing excessive thirst?
B
1. Diet cola.
2. Ice chips.
3. Lemonade.
4. Tap water.
The nurse is planning interventions for a school-aged child in need of diversional activity.
Which of the following activities should the nurse expect to include?
Playing a card game with someone the same age.
1. A
2. Putting together a puzzle with mother.
3. Playing video games with a 4-year-old.
4. Watching a movie with a younger brother.
A 10-year-old child hospitalized with acute poststreptococcal glomerulonephritis during the
acute stage has elevated blood pressure and low urine output for 14 hours. The nurse should
next:
1/2
