A preschool-age client is diagnosed with acute glomerulonephritis and is admitted to the hospital. Which nursing diagnosis is most appropriate for this client?

1. Risk for Injury Related to Loss of Blood in Urine
2. Fluid-Volume Excess Related to Decreased Plasma Filtration
3. Risk for Infection Related to Hypertension
4. Altered Growth and Development Related to a Chronic Disease


Correct Answer: 2
Rationale: The fluid is excessive, and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present, it is not related to the hypertension. Growth and development is not normally affected because this is an acute process, not a chronic one.

Nursing

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ANS:

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The nurse administers a drug that causes vasoconstriction, contracted piloerection muscles, pupil dilation, closure of salivary sphincter, and male sexual emission. What receptor is this drug stimulating?

A) Alpha1-receptors B) Alpha2-receptors C) Beta1-receptors D) Beta2-receptors

Nursing

An 18-month-old child has been in three foster homes within the past 9 months. When the child is seen for a well-child visit, the nurse notices the child vigilantly watches everyone. This child may not have which of Maslow's basic needs met?

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a. belonging b. esteem c. safety d. love

Nursing