What measure of fluid balance status is most useful in a child with acute glomerulonephritis?
a. Proteinuria
b. Daily weight
c. Specific gravity
d. Intake and output
ANS: B
A record of daily weight is the most useful means to assess fluid balance and should be kept for children treated at home or in the hospital. Proteinuria does not provide information about fluid balance. Specific gravity does not accurately reflect fluid balance in acute glomerulonephritis. If fluid is being retained, the excess fluid will not be included. Also proteinuria and hematuria affect specific gravity. Intake and output can be useful but are not considered as accurate as daily weights. In children who are not toilet trained, measuring output is more difficult.
You might also like to view...
The nurse is teaching a group of adolescents about care for acne vulgaris. Which of the following should be included in this teaching session? Select all that apply
1. Wash skin with mild soap and water twice a day. 2. Use astringents and vigorous scrubbing. 3. Avoid picking or squeezing the lesions. 4. Apply tretinoin (Retin-A) liberally. 5. Avoid sun exposure if on tetracycline.
The nurse assesses a client with a below-knee amputation. Which assessment of the skin flap requires immediate action?
a. Pink and warm to the touch b. Pale and cool to the touch c. Dark pink and dry to the touch d. Pink and slightly moist to the touch
An African American client with jaundice has been admitted to the health care facility. Which of the following body areas is the best place to assess jaundice?
A) Sclera B) Nailbeds C) Lips D) Palm
A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty?
a. Inhibin b. Leptin c. Activin d. Follistatin