Which clinical finding warrants further intervention for the child with acute poststreptococcal glomerulonephritis?
a. Weight loss to within 1 lb of the preillness weight
b. Urine output of 1 mL/kg/hr
c. A positive antistreptolysin O (ASO) titer
d. Inspiratory crackles
D
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A This is an indication that the child is responding to treatment.
B This is an acceptable urine output and indicates that the child is responding to
treatment.
C A positive ASO titer indicates the presence of antibodies to streptococcal
bacteria; it is used to aid in diagnosis of acute poststreptococcal
glomerulonephritis. This is an expected finding if the child has this acute illness.
D Children with excess fluid volume may have pulmonary edema. Inspiratory
crackles indicate fluid in the lungs. Pulmonary edema can be a life-threatening
complication.
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Licensed practical nurses (LPNs) have commonly held management positions in which of the following places?
1. Hospitals 2. The military 3. Long-term care 4. Clinics
The nurse is caring for a patient in acute respiratory failure and understands that the patient should be positioned: (Select all that apply.)
a. high Fowler's. b. side lying with head of bed elevated. c. sitting in a chair. d. supine with the bed flat.
A client is receiving an intradermal injection to evaluate general immunity during a nutritional assessment. Which of the following would the nurse need to keep in mind about malnutrition if the client has no reaction?
A) It indicates high cholesterol and triglyceride levels. B) It shows a sacrifice of skeletal muscle proteins and blood proteins. C) It assesses unhealthy dietary habits. D) It indicates immunosuppression resulting from undernourishment.
Which nursing actions will decrease the risk of extravasation when administering chemotherapy to a pediatric client through a peripheral line? Select all that apply
1. Ensuring that the intravenous line is a free flowing line 2. Administering the medication by infusion pump 3. Checking for blood return before and during chemotherapy administration 4. Diluting the medication with normal saline 5. Administering the vesicant drug last