You are the nurse assigned to care for a child with acute ...

[NClaborn]

You are the nurse assigned to care for a child with acute glomerulonephritis. After receiving report and doing an initial assessment, you check the lab reports.
 
  You would not be surprised to find which of the following signs and symptoms consistent with the diagnosis of acute glomerulonephritis? a. pale yellow urine in copious amounts, low specific gravity, increased glomerular filtration rate
  b. hypotension, dry skin, decreased serum sodium levels, and decreased potassium
  c. hematuria, dependent edema, elevated serum sodium, diminished glomerular filtration rate, proteinuria
  d. ketone bodies in the urine, diminished serum sodium, orthostatic hypotension

Question 2

What factor in the 1970s played a major part in the changing role of the school nurse and prompted the need for additional education and expertise for school nurses?
 
  a. passage of the Education for All Handicapped Children Act
  b. greater numbers of children entering the school system
  c. the fact that teachers stopped teaching the health curriculum
  d. changes in the Medicaid laws affecting children

[Hikerman221]

Answer to Question 1

C

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A Incorrect. The following signs and symptoms are not consistent with acute glomerulonephritis: the color of the urine will be not be pale yellow, urine output is lower, the specific gravity is higher, the glomerular filtration rate is decreased.
B Incorrect. The following signs and symptoms are not consistent with acute glomerulonephritis: hypotension, decreased serum sodium levels and decreased potassium.
C Correct. The clinical manifestations of acute glomerulonephritis are hematuria, dependent and periorbital edema, diminished urinary output, proteinuria, hypertension, fatigue, diminished glomerular filtration rate, elevated serum sodium levels, and elevated potassium.
D Incorrect. The following signs and symptoms are not consistent with acute glomerulonephritis: ketone bodies in the urine, decreased serum sodium, and hypertension, not orthostatic hypotension.

Answer to Question 2

A

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A Correct. The passage of the Education for All Handicapped Children Act in 1975 forever changed the role of the school nurse and required additional education and expertise.This act required all states to provide a free and appropriate education in the least restrictive environment to children with handicaps. School nurses were responsible for caring for children with complex medical conditions.
B Incorrect. The factor in the 1970s that played a major part in the changing role of the school nurse and prompted the need for additional education and expertise for school nurses was not the greater numbers of children entering the school system.
C Incorrect. The factor in the 1970s that played a major part in the changing role of the school nurse and prompted the need for additional education and expertise for school nurses was not the fact that teachers stopped teaching the health curriculum.
D Incorrect. The factor in the 1970s that played a major part in the changing role of the school nurse and prompted the need for additional education and expertise for school nurses was not changes in the Medicaid laws affecting children.