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°Test-Taking Strategy: Use the process of elimination and your knowledge regarding the assessment findings associated with glomerulonephritis to answerthis 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 mostlikely 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 (4thed., 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 indicatea need for further instructions? Select all that apply.A.“I will be so glad when my baby outgrows all of this bleeding.” CorrectB.“I need to cancel all of the dental appointments that I’ve made for him.” CorrectC.“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: Hemophiliais 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 remainingstatements 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.