The nurse is caring for a child suspected of having acute glomerulonephritis. When reviewing the health history, which finding is most concerning to the nurse?
a. Recent upper respiratory infection
b. Recent outpatient surgery
c. History of asthma
d. Recent history of gastroenteritis
A
Glomerulonephritis is primarily seen in children and young adults, and affects males more than females. It most commonly occurs about 2 to 3 weeks after a group A beta-hemolytic strepto-coccal infection, such as "strep throat" or impetigo; however, it can occur in response to bacterial, viral, or parasitic infections elsewhere in the body. Outpatient surgery, asthma, and gastroenteritis are not risk factors for glomerulonephritis.
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The nursing supervisor is observing the staff on the pediatric unit. Which nurse is providing family-centered care?
1. The nurse who delays morning care until after the family has visited the child 2. The nurse who suggests the mother take a break and get breakfast while the nurse changes the child's dressings 3. While admitting a new client, the nurse explains the visitation rules of the unit to the parents and grandparents. 4. During discharge planning, the nurse recognizes the mother is unable to perform wound care on the client, so the nurse works with the family to determine which family member will be available to meet this child's health care needs.
When teaching clients taking decongestants and antihistamines, the nurse should instruct the clients to:
a. use topical decongestants immediately after meals. b. not use both OTC (over-the-counter) and prescription medications for allergic rhinitis. c. avoid taking a flu shot. d. drink at least three liters of fluids/day.
A nurse is interviewing a patient for the establishment of long-term care insurance. During the interview, the nurse asks questions regarding the patient's past medical history. The nurse is the
A) Sender B) Target C) Receiver D) Decoder
A nurse understands the pharmacokinetics associated with medications in the elderly
Which laboratory finding would the nurse associate with the greatest risk of increased drug effects in the geriatric patient who is taking a drug that is highly protein bound? a. Low serum albumin level b. High serum albumin levels c. Low serum creatinine levels d. Increased gastric pH