A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Decreased blood pressure
Pale yellow urine
Periorbital edema
Increased urination
The Correct Answer is C
A. Decreased blood pressure: In acute glomerulonephritis, fluid retention and sodium accumulation often lead to hypertension rather than hypotension. Decreased blood pressure would be unusual and could indicate another underlying issue.
B. Pale yellow urine: Clients typically present with hematuria, which causes tea-colored or cola-colored urine, not pale yellow. The discoloration results from red blood cells leaking into the urine due to glomerular inflammation.
C. Periorbital edema: Fluid retention is common in acute glomerulonephritis, particularly in the face and around the eyes. Edema results from decreased glomerular filtration and sodium/water retention, making periorbital swelling a classic and expected finding.
D. Increased urination: Oliguria, or decreased urine output, is more typical in acute glomerulonephritis due to impaired renal function. Polyuria is not usually associated with this condition unless complications like diabetes insipidus are present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Potassium: Furosemide is a loop diuretic that increases renal excretion of sodium, chloride, and water, which can lead to significant potassium loss. Monitoring serum potassium levels is essential to prevent hypokalemia, which can cause muscle weakness, arrhythmias, and cardiac complications, especially in infants who are more vulnerable to electrolyte imbalances.
B. WBC count: Furosemide does not typically affect white blood cell production or immune function. Monitoring WBC count is not indicated solely for furosemide therapy unless the infant has another condition that requires hematologic surveillance.
C. Iron: Furosemide does not interfere with iron metabolism or absorption. Iron studies are unrelated to diuretic therapy and are not required unless the infant has known anemia or is receiving iron supplementation for another reason.
D. Amylase: Amylase is a pancreatic enzyme monitored in cases of pancreatic disorders or suspected pancreatitis. Furosemide therapy does not directly affect pancreatic function, so amylase measurement is not indicated as part of routine monitoring for this medication.
Correct Answer is ["8"]
Explanation
Prescribed Dose: 30 mg/kg/day
Child’s Weight: 20 kg
Dosing Schedule: Every 8 hours (3 doses per day)
- Calculate the total daily dose
Total Daily Dose = 30 × 20
= 600 mg/day
- Calculate the dose per administration
Dose per administration = Total Daily Dose ÷ 3
Dose per administration = 600 ÷ 3
= 200 mg per dose
- Determine the volume to administer using the available concentration
Available Concentration: 125 mg/5 mL
Volume per dose = (200 ÷ 125) × 5
Volume per dose = 1.6 × 5
Volume per dose = 8 mL
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.