Health Promotion and Maintenance
35. What assessment findings should a nurse expect in a child with acute post-streptococcal glomerulonephritis? Select all that apply.
Health Promotion and Maintenance
35. What assessment findings should a nurse expect in a child with acute post-streptococcal glomerulonephritis? Select all that apply.
. Severe hematuria.
. Pallor.
. Decreased urine specific gravity.
. Weight gain.
. Headache.
. Massive proteinuria.
Test-Taking Tip
Look for answers that go together. Hematuria ( Answer 1 ) results in pallor ( Answer 2 ); weight gain ( Answer 4 ) from fluid retention goes with headache from hypertension ( Answer 5 ).
Content Area: Child Health, Genitourinary; Integrated Process: Nursing Process, Assessment; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Health Promotion and Maintenance
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Answer 1 is correct because the child with acute glomerulonephritis has large amounts of red blood cells in the urine due to ruptured glomerular capillaries. Answer 2 is correct because pallor is a symptom of acute glomerulonephritis as a result of anemia. Answer 3 is incorrect because urine specific gravity increases with the fluid retention of acute glomerulonephritis. Answer 4 is correct because the child with acute glomerulonephritis gains weight due to fluid retention. Answer 5 is correct because the child with acute glomerulonephritis may have a headache as a result of hypertension caused by hypervolemia. Answer 6 is incorrect because proteinuria is mild, not massive for the child with acute glomerulonephritis. Massive proteinuria is a symptom of nephrotic syndrome.