ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school aged child with glomerulonephritis, with urine output of 190mL in 8 hours, dark brown urine, lethargy, confusion, headache, double vision, elevated BUN, creatinine, ESR, BP 138/80, and irritability.
Question 1 of 5
The nurse is caring for a school aged child with glomerulonephritis. Which of the following findings requires IMMEDIATE attention?
Correct Answer: B
Rationale: The correct answer is B because lethargy, confusion, headache, and double vision are symptoms of hypertensive encephalopathy, a serious complication of glomerulonephritis. This requires immediate attention to prevent further neurological damage or stroke. Dark brown urine (
A) may indicate hematuria, but it does not require immediate attention like neurological symptoms. Elevated lab values (
C) are concerning but do not indicate an immediate threat. Sleeping a lot and irritability (
D) can be due to fatigue and hypertension which are not immediate concerns.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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