A nurse is assisting in the admission assessment of a client who presents to the emergency department (ED) reporting a puffy face and malaise. The client states, "I finished taking amoxicillin for strep throat a few days ago." The nurse suspects the client may have acute glomerulonephritis. If the nurse is correct, which of the following other assessment findings should the nurse expect? (Select all that apply.)

Elevated systolic blood pressure

Fever

Palpable kidney masses

Diffuse abdominal pain

Answer and Explanation

Correct Answer : A,B,D

A. Elevated systolic blood pressure: Acute glomerulonephritis can often cause hypertension (high blood pressure), especially in the setting of kidney inflammation. Elevated blood pressure can be a common finding.

B. Fever: In acute glomerulonephritis, fever can occur, particularly during the acute phase of the illness, as it often follows an infection like strep throat. Fever might be present, but it's not always a consistent finding.

C. Palpable kidney masses: Palpable kidney masses are not typical findings in acute glomerulonephritis. This condition primarily involves inflammation within the kidneys and doesn't usually cause palpable masses.

D. Diffuse abdominal pain: Acute glomerulonephritis can cause nonspecific abdominal discomfort.

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Correct Answer is B

No explanation

A. Hyperactive reflexes B. Extreme thirst C. Weak, irregular pulse D. Hyperactive bowel sounds

Correct Answer is C

Explanation

A.Hypokalemia usually causes muscle weakness, decreased deep tendon reflexes, and cramps, not hyperreflexia.

B.While dehydration might be a consequence of vomiting and diarrhea, extreme thirst is not a typical symptom specifically related to hypokalemia. It's more associated with the body's response to fluid loss.

C.Potassium is essential for cardiac conduction. Hypokalemia can cause dysrhythmias, irregular pulse, and weak heart contractions due to decreased excitability of myocardial cells.

D.Hyperactive bowel sounds might be present in clients with gastrointestinal issues like diarrhea, but they are not directly caused by hypokalemia. They are more likely a consequence of the underlying gastrointestinal condition causing the electrolyte imbalance.

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings show the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?

A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should the charge nurse to intervene?

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

A nurse is collecting data from a client who has an inadequate dietary intake of fiber. Which of the following findings should the nurse expect?

A nurse is assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)