A child is being treated for acute glomerulonephritis, which of the following medications would the nurse expected to be part of the nursing plan of care? (Select two that apply.)
Bronchodilators
Antiemetics
Antihypertensives
Diuretics
Anticoagulants
Correct Answer : C,D
A. Bronchodilators: These are used for respiratory conditions, not glomerulonephritis.
B. Antiemetics: Antiemetics are not indicated unless vomiting is present, which is uncommon in glomerulonephritis.
C. Antihypertensives: Hypertension is a common complication in acute glomerulonephritis and requires treatment.
D. Diuretics: Diuretics may be used to manage fluid overload and reduce edema in these patients.
E. Anticoagulants: Anticoagulants are not routinely used in glomerulonephritis unless there is a specific indication.
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Related Questions
Correct Answer is D
Explanation
A. Educate the parents about potential complications: While education is important, it is not the immediate priority.
B. Maintain a saline lock: Maintaining IV access is essential but does not directly address fluid balance, the primary concern.
C. Place the child on a no-salt-added diet: While reducing salt helps control edema, daily weight monitoring is more immediate for assessing fluid retention.
D. Check the child's weight daily: Monitoring weight is the most sensitive indicator of fluid retention and is crucial for evaluating the child's response to treatment.
Correct Answer is B
Explanation
A. Respiratory rate 24/min: While a normal respiratory rate is positive, it is not a primary marker of hydration status.
B. Urine specific gravity 1.015: A normal urine specific gravity indicates adequate hydration.
C. Heart rate 130/min: Tachycardia indicates ongoing dehydration or stress.
D. Capillary refill greater than 3 seconds: Prolonged capillary refill suggests inadequate perfusion and continued dehydration.
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