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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is D
Explanation
A.While broth can provide fluids and some electrolytes, it is often high in sodium and may not be balanced for a child with diarrhea. High sodium content can exacerbate dehydration and does not adequately replace the lost potassium.
B.Apple juice contains high levels of sugar and may worsen diarrhea by drawing water into the intestines. Additionally, the fructose in apple juice can be difficult to absorb and may lead to increased gastrointestinal discomfort.
C.Cherry gelatin provides fluids but contains sugar and artificial coloring, which are not ideal for rehydration. It does not have the necessary electrolytes that are lost during diarrhea.
D.Pedialyte is specifically formulated to replace fluids and electrolytes lost during episodes of diarrhea and vomiting. It helps prevent dehydration by providing an appropriate balance of electrolytes and fluids that are easily absorbed by the body.
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