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:
The statement that symptoms can worsen with penile penetration during intercourse is partially correct. While sexual activity may exacerbate feelings of bulging or discomfort associated with uterine prolapse, it does not typically worsen the prolapse itself⁹. Painful intercourse, known as dyspareunia, is a common symptom of pelvic organ prolapse, which includes uterine prolapse.

Choice B reason:
Feeling a sensation of pressure in the pelvis is a classic symptom of uterine prolapse. As the uterus descends into the vaginal canal, it can create a sensation of fullness or pressure that is often noticeable and uncomfortable for the patient.

Choice C reason:
Low back pain is indeed a symptom that can be associated with uterine prolapse. The weakening of pelvic floor muscles and ligaments that leads to prolapse can also contribute to discomfort in the lower back.

Choice D reason:
The presence of feces in the vagina would not be a direct symptom of uterine prolapse. However, a related condition called rectocele, where the rectum bulges into the vagina, could cause such a symptom. This condition is different from uterine prolapse and would require separate management.

A. "Disinfect equipment contaminated with blood or body fluids for twenty-four hours." B. "Burn soiled dressings." C. "Prevent the spread of infection with good household cleaning practices." D. "Food preparation is not your responsibility."

Correct Answer is C

Explanation

Choice A reason:
Disinfecting equipment contaminated with blood or body fluids is crucial to prevent the spread of infection, but the specific time frame of twenty-four hours is not standard practice. The Centers for Disease Control and Prevention (CDC) recommends cleaning and then disinfecting surfaces or objects that may be contaminated, using a disinfectant registered by the Environmental Protection Agency (EPA) and following the manufacturer's instructions for use.

Choice B reason:
Burning soiled dressings is not a recommended practice due to environmental concerns and potential health risks associated with burning medical waste. Instead, soiled dressings should be disposed of properly in accordance with local regulations for biohazardous waste.

Choice C reason:
Good household cleaning practices are essential for preventing the spread of infection, especially for individuals with compromised immune systems, such as those with AIDS. Regular cleaning and disinfecting of frequently touched surfaces can help reduce the risk of infection.

Choice D reason:
The statement "Food preparation is not your responsibility" is not an appropriate discharge instruction. Patients with AIDS should be informed about safe food handling practices to prevent foodborne illnesses, which they are at higher risk for due to their weakened immune systems.

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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 providing teaching to a client about the manifestations of uterine prolapse. Which of the following statements by the client should indicate to the nurse a need for further teaching?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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