Which clinical finding warrants further intervention for the ...

[jlmhmf]

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

Question 2

How can the nurse help the mother who is breastfeeding and has engorged breasts?
 
  a. Suggest that she switch to bottled formula just for today.
  b. Assist her into removing her bra, making her more comfortable.
  c. Apply heat to her breasts between feeding and cold to the breasts just before
  feedings.
  d. Instruct and assist the mother to massage her breasts.

[randomguy133]

Answer to Question 1

D
Feedback
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.

Answer to Question 2

D
Feedback
A Engorgement is more likely to increase if breastfeeding is delayed or infrequent.
B A well-fitting bra should be worn both day and night to support the breasts.
C Cold applications are used between feedings to reduce edema and pain. Heat is
applied just before feedings to increase vasodilation.
D Massage of the breasts causes release of oxytocin and increases the speed of milk
release.