A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Hematuria.

Polyuria.

Weight loss.

Hypotension.

Answer and Explanation

The Correct Answer is A

Hematuria is the presence of red blood cells in the urine, which can make it appear pink or cola-colored. Hematuria is a common sign of glomerulonephritis, which is inflammation of the tiny filters in the kidneys (glomeruli) that remove waste and excess fluid from the blood. Hematuria occurs because the inflamed glomeruli allow some blood cells to leak into the urine.

Choice B is wrong because polyuria is the production of abnormally large amounts of urine. Polyuria is not a typical feature of acute glomerulonephritis, which may actually cause reduced urine output due to fluid retention and decreased kidney function.

Choice C is wrong because weight loss is not a common symptom of acute glomerulonephritis. On the contrary, weight gain may occur due to fluid retention and edema (swelling) in the face, hands, feet and abdomen.

Choice D is wrong because hypotension is low blood pressure. Hypotension is not usually associated with acute glomerulonephritis, which may cause high blood pressure (hypertension) due to fluid overload and impaired sodium excretion by the kidneys.

Normal ranges for blood pressure are less than 120/80 mmHg for adults. Normal ranges for urine output are about 800 to 2000 mL per day for adults.

Normal ranges for protein in the urine are less than 150 mg per day for adults. Normal ranges for red blood cells in the urine are less than 3 per high-power field for men and less than 5 per high-power field for women.

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Correct Answer is C

Explanation

This is because coarctation of the aorta is a congenital condition where the aorta is narrow, usually in the area where the ductus arteriosus inserts. This causes a decrease in blood flow to the lower body, resulting in weak or absent pulses in the femoral arteries.

The other choices are incorrect for the following reasons:

Choice A is not a typical sign of coarctation of the aorta.

Nosebleeds can be caused by many factors, such as dry air, allergies, trauma, or bleeding disorders.

Choice B is also not a common finding in coarctation of the aorta. In fact, patients with this condition may have high blood pressure in the upper extremities due to the increased resistance of the narrowed aorta.

Choice D is not directly related to coarctation of the aorta.

Increased intracranial pressure can be caused by various conditions that affect the brain, such as head injury, stroke, infection, or tumor.

Normal ranges for blood pressure and pulse vary depending on age, sex, and health status. However, some general guidelines are:

Blood pressure: less than 120/80 mmHg for adults; less than 95/65 mmHg for infants.
Pulse: 60 to 100 beats per minute for adults; 100 to 160 beats per minute for infants.

A. A client who is ambulatory and receiving oxygen. B. A client who uses a wheelchair and is confused. C. A client who is bedridden and wears a hearing aid. D. A client who has a fracture and is in balance suspension traction.

Correct Answer is A

Explanation

A client who is ambulatory and receiving oxygen should be evacuated first during a fire because they are at risk of fire and explosion from the oxygen source. The nurse should instruct the staff to turn off the oxygen supply, remove the oxygen device from the client, and assist them to walk out of the building using the nearest exit.
Choice B is wrong because a client who uses a wheelchair and is confused is not in immediate danger from the fire. They can be evacuated using a swing carry or an extremity carry by two staff members after the clients who are more vulnerable are evacuated.
Choice C is wrong because a client who is bedridden and wears a hearing aid is not in immediate danger from the fire. They can be evacuated using a cradle drop by one staff member after the clients who are more vulnerable are evacuated.
Choice D is wrong because a client who has a fracture and is in balance suspension traction is not in immediate danger from the fire. They can be evacuated using a special device such as a sked or a sled by two or more staff members after the clients who are more vulnerable are evacuated.

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A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

Correct Answer is C

Explanation

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

Correct Answer is A

Explanation

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