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 A
No explanation
Correct Answer is ["C","D"]
Explanation
a.Weight monitoring is important for managing fluid balance. However, daily weight checks are typically recommended for clients on dialysis to accurately monitor fluid changes and detect any issues early. Weighing oneself every other day might not provide sufficient information for managing fluid status effectively.
b.This approach is not ideal. Diuretics should be taken as prescribed by the healthcare provider, not based on subjective symptoms like puffiness of the feet. Adhering to the prescribed medication schedule is crucial for managing fluid balance.
c.This statement indicates a good understanding of fluid restriction guidelines. Following the prescribed fluid intake limits is essential for maintaining proper fluid balance and preventing complications.
d.Shortness of breath can be a sign of fluid overload or other complications, and it is important to seek medical advice promptly. Calling the doctor in such situations shows an understanding of when to seek help.
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