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A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Straw-colored urine

Hypotension

Weight gain

Hyponatremia

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Urine in acute glomerulonephritis often appears tea-colored or smoky due to hematuria.

Choice B rationale:

Hypertension is common in acute glomerulonephritis.

Choice C rationale:

Fluid retention and subsequent weight gain are common due to decreased kidney function.

Choice D rationale:

Hyponatremia is not typically associated with acute glomerulonephritis.

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Correct Answer is C

Explanation

Choice A rationale:

Teaching about manifestations of anxiety might be important, but addressing the immediate needs of the anxious client takes precedence.

Choice B rationale:

Completing the assessment is important, but if the client is becoming increasingly anxious, immediate intervention is needed.

Choice C rationale:

Reassuring the client of their safety is a priority intervention for managing escalating anxiety. This can help to provide a sense of security and prevent the situation from worsening.

Choice D rationale:

Administering an anti-anxiety medication should not be the first step, especially without assessing the client's current condition and considering non-pharmacological interventions first.

A. Refer the client to crisis intervention services. B. Determine the client's previous methods of coping with crisis. C. Discuss with the client the cause of the crisis. D. Assist the client to develop strategies to overcome the crisis.

Correct Answer is B

Explanation

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

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A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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