A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

Urinary output of 280 mL during previous 8 hr

Pedal edema

Hematuria

Blood pressure 162/90 mm Hg

Answer and Explanation

The Correct Answer is D

a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.

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Correct Answer is B

Explanation

a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.

A. Decrease fluid intake to control the intraocular pressure. B. Decrease the amount of salt in the diet. C. Eye medications will need to be administered for life. D. Avoid overuse of the eyes.

Correct Answer is C

Explanation

a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.

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A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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