Test taking strategy use the process of elimination

° Test-Taking Strategy: Use the process of elimination and your knowledge
regarding the assessment findings associated with glomerulonephritis to answer
this question. Recalling that the creatinine level is increased only with an 80%
decrease in glomerular filtration rate will assist you in eliminating this option.
Eliminate cloudy yellow urine next, knowing that this assessment finding is not
normally noted in glomerulonephritis. To select from the remaining options it is
necessary to know that hypertension and a high potassium level are most likely
in this kidney disorder. If you had difficulty with this question, review the clinical
manifestations of glomerulonephritis.
° Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013).
Maternal-child nursing (4
th
ed., pp. 1128-1129). St. Louis: Elsevier.
° Level of Cognitive Ability: Analyzing
° Client Needs: Physiological Integrity
° Integrated Process: Nursing Process/Assessment
° Content Area: Child Health – Renal
°
°
° Giddens Concepts: Clinical Judgment, Elimation
° HESI Concepts: Assessment, Elimination
° Awarded 1.0 points out of 1.0 possible points.
° 97.
ID: 9476920136
° A home care nurse is providing instructions to the mother of a 3-year-old with

hemophilia regarding care of the child. Which statements by the mother indicate
a need for further instructions ? Select all that apply.
A. “I will be so glad when my baby outgrows all of this bleeding.”
Correct
B. “I need to cancel all of the dental appointments that I’ve made for
him.”
Correct
C. “If he gets a cut, I should hold pressure on it until the bleeding
stops.”
D. “I should check the house for any household items that could fall
over easily.”
E. “I should move furniture with sharp corners out of the way and pad
the corners of the furniture.”
° Rationale: Hemophilia is the term given to a group of bleeding disorders
resulting from a deficiency of specific coagulation proteins. Identifying the
specific coagulation deficiency is important because it allows definitive
treatment with the specific replacement agent to be implemented; aggressive
replacement therapy is initiated to prevent the chronic crippling effects of joint
bleeding. The child does not outgrow the disorder, and lifetime management is
needed. The nurse must stress the importance of immunizations, dental
hygiene, and routine well-child care for the child with hemophilia. The remaining
statements represent appropriate care measures.
° Test-Taking Strategy: Note the strategic words “need for further instruction” in
the query of the question, which indicate a negative event query and the need
to select the incorrect statement. Recalling that bleeding is a concern in this
disorder and remembering that the disorder is lifelong will assist you in
answering correctly. If you had difficulty with this question, review care of the
child with hemophilia.