A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

Administer antibiotics.

Encourage increased fluid intake.

Encourage frequent ambulation.

Obtain weight weekly.

Answer and Explanation

The Correct Answer is A

Choice A Reason:
Administering antibiotics is a primary intervention for AGN when it is caused by a bacterial infection, such as post-streptococcal glomerulonephritis. Antibiotics help eliminate the infection and prevent further damage to the glomeruli.

Choice B Reason:
Encouraging increased fluid intake is not typically recommended for AGN, especially if the client has oliguria or edema, which are common in this condition. Fluid intake may need to be restricted to prevent fluid overload and worsening of hypertension.

Choice C Reason:
Frequent ambulation is not a priority intervention for AGN. While maintaining mobility is important, it does not directly address the renal inflammation or potential complications associated with AGN.

Choice D Reason:
Obtaining weight weekly is important for monitoring fluid status, but it is not the primary intervention. Daily weight measurements are more indicative of fluid retention or loss and are essential for closely monitoring the client's fluid balance.

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Correct Answer is D

Explanation

Choice A reason:
Telling a client that they will be at an increased risk of breast cancer due to fibrocystic breast changes would be incorrect. Fibrocystic breast changes are not directly linked to an increased risk of breast cancer. While the presence of complex fibrocystic changes may slightly elevate the risk, fibrocystic breasts themselves are a common and benign condition.

Choice B reason:
It is not accurate to say that the manifestations of fibrocystic breasts often get worse after menopause. In fact, fibrocystic changes are related to hormone levels, and most women experience relief from these symptoms after menopause when hormone levels decline.

Choice C reason:
Stating that menopause won't have any effect on the manifestations is also incorrect. Menopause typically leads to a decrease in hormone levels, which are associated with fibrocystic breast changes. Therefore, most women see an improvement in their symptoms after menopause.

Choice D reason:
The most appropriate response is that the manifestations usually go away after menopause. Fibrocystic breast changes are linked to hormonal fluctuations, and after menopause, when these fluctuations cease, the symptoms of fibrocystic breasts typically resolve.

A. Weight loss B. Hematuria C. Bradycardia D. Hypertension

Correct Answer is A

Explanation

Choice A reason:
Weight loss is a common finding in individuals with uncontrolled type 1 diabetes mellitus. Due to the lack of insulin, the body cannot utilize glucose effectively, leading to the breakdown of body fat and muscle for energy, resulting in weight loss.

Choice B reason:
Hematuria, or blood in the urine, is not a typical finding associated with uncontrolled type 1 diabetes mellitus. While diabetes can cause kidney damage over time, leading to proteinuria, hematuria would not be an expected finding solely due to uncontrolled diabetes.

Choice C reason:
Bradycardia, or a slower than normal heart rate, is not a common finding in uncontrolled type 1 diabetes mellitus. In fact, diabetes can sometimes cause autonomic neuropathy, which can affect the heart rate, but this typically does not result in bradycardia.

Choice D reason:
Hypertension is more commonly associated with type 2 diabetes mellitus, often due to insulin resistance. In type 1 diabetes, especially when uncontrolled, hypertension is not a typical finding unless there is coexisting kidney damage.

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A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, "What will happen to my fibrocystic breast changes after menopause?" Which of the following statements is an appropriate response by the nurse?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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