What is a psychological effect of being obese during adolescence?

Correct Answer: B

Rationale: The psychological effect of being obese during adolescence often includes a poor body image. Adolescence is a critical period for body image development, and being obese can lead to negative perceptions about one's appearance and self-worth. Individuals who are obese may experience low self-esteem, perpetuated by societal stereotypes and stigmas surrounding body weight. This poor body image can contribute to mental health issues such as depression and anxiety, as well as impact social relationships and overall well-being during this crucial stage of development.

Correct Answer: B

Rationale: Acute glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly Group A beta-hemolytic streptococcal infection such as strep throat or impetigo. The infection triggers an abnormal immune response leading to inflammation of the glomeruli in the kidneys. This inflammation impairs the kidneys' ability to filter waste and excess fluids from the blood, resulting in symptoms such as hematuria (blood in urine), proteinuria (protein in urine), hypertension, and edema. Other causes such as renal vascular disorders, structural anomalies of the genitourinary tract, or urinary tract infections are not typically linked to acute glomerulonephritis.

Correct Answer: C

Rationale: The correct statement indicating that the parents have understood the teaching is: "The red blood cell count should begin to improve with these injections." Recombinant human erythropoietin (rHuEPO) is a hormone used to stimulate red blood cell production in patients with chronic renal failure. By increasing red blood cell production, rHuEPO can help combat anemia, a common complication of chronic renal failure. Therefore, the improvement of the red blood cell count is an expected outcome of administering rHuEPO injections in patients with chronic renal failure. The other statements are not accurate regarding the effects of rHuEPO injections.

Correct Answer: A

Rationale: In pediatric patients receiving digoxin, the nurse should notify the practitioner and withhold the medication if the apical pulse is less than 60 beats/min in an 8-year-old child. Digoxin can cause bradycardia as a side effect, and a low heart rate (bradycardia) can indicate toxicity. Monitoring the apical pulse rate before administering digoxin is essential to ensure the child's safety and prevent complications related to digoxin toxicity.

Correct Answer: C

Rationale: Referring children with sore throats for throat cultures is important in the prevention of rheumatic fever. Rheumatic fever is a complication of untreated streptococcal throat infections, specifically caused by group A Streptococcus bacteria. By identifying and treating streptococcal infections promptly with antibiotics, the risk of developing rheumatic fever is significantly reduced. The school nurse plays a crucial role in recognizing the symptoms of strep throat and ensuring that affected children are appropriately referred for testing and treatment. This can help prevent the serious consequences of rheumatic fever, which can affect the heart, joints, skin, and brain if left untreated. Encouraging routine cholesterol screenings (choice A) and blood pressure screenings (choice B) are important for overall health monitoring but are not directly related to the prevention of rheumatic fever. Recommending salicylates over acetaminophen (choice D) is not advisable in children due to the risk of Reye's syndrome