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 C

Explanation

A.Memory loss is incorrect. Typically, memory loss is not directly linked to a lack of dietary fiber but could be associated with various other factors.

B.Bleeding gums is incorrect. Bleeding gums may be linked to inadequate oral hygiene or issues related to gum health rather than specifically to a lack of dietary fiber.

C.Constipation is correct. Inadequate dietary intake of fiber can often lead to constipation. Fiber adds bulk to stool and helps it move through the digestive tract more easily. When there's a lack of fiber in the diet, it can result in difficulty passing stool, leading to constipation.

D.Brittle hair is incorrect. This is more commonly associated with nutritional deficiencies like inadequate protein, certain vitamins, or minerals, rather than solely due to a lack of dietary fiber.

A. A client who was admitted with pneumonia receiving cefazolin IV B. A client who was admitted with dehydration from bacterial meningitis receiving vancomycin IV C. A client who was admitted with uncontrolled atrial fibrillation on a diltiazem IV drip D. A client who was admitted with an exacerbation of congestive heart failure receiving metoprolol PO

Correct Answer is B

No explanation

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is B

A nurse is caring for a client who has acute dehydration is receiving IV fluids. Which of the following laboratory values indicates to the nurse th the current treatment regimen is effective?

A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

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?

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?

Among which statements is true regarding intermittent feeding.

A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of following actions indicates that the AP understands the principles of infection control?

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?