What should the nurse ask the patient about to determine possible causes of acute glomerulonephritis?
History of high blood pressure
Recent sore throat and fever
Recent bladder infection
History of kidney stones
The Correct Answer is B
Choice A rationale
A history of high blood pressure is a risk factor for chronic kidney disease but not specifically for acute glomerulonephritis. Acute glomerulonephritis is more commonly associated with infections.
Choice B rationale
A recent sore throat and fever, especially if caused by a streptococcal infection, can lead to post-streptococcal glomerulonephritis. This is a well-documented cause of acute glomerulonephritis, making it the correct answer.
Choice C rationale
While bladder infections can lead to urinary tract infections, they are not typically associated with acute glomerulonephritis. This condition is more commonly related to infections that can cause a systemic immune response.
Choice D rationale
A history of kidney stones is associated with chronic kidney issues and can lead to infections, but it is not a direct cause of acute glomerulonephritis. This condition is usually caused by an immune response to an infection elsewhere in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Applying a new patch at the onset of anginal pain is not recommended for transdermal nitroglycerin. This medication is used for long-term prevention of angina, not for immediate relief.
Choice B rationale
Covering the patch with plastic wrap is not necessary and is not a standard instruction for the use of transdermal nitroglycerin patches.
Choice C rationale
Applying a new patch each morning ensures that the medication is delivered consistently throughout the day, which is important for the management of stable angina.
Choice D rationale
Removing the patch for 10 to 12 hours daily, typically at night, helps prevent tolerance to the medication, ensuring its effectiveness.
Choice E rationale
Applying the patch to a hairless area and rotating sites helps to prevent skin irritation and ensures better adherence of the patch to the skin.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Anxiety, while a valid concern, is not directly a risk associated with the physical complications of an ileal conduit. However, it can be an emotional response to the surgery and the changes it brings.
Choice B rationale
Impaired skin integrity is a significant risk for clients with an ileal conduit due to the potential for irritation from the stoma appliance and the risk of skin breakdown around the stoma site.
Choice C rationale
Infection is a risk due to the potential for bacteria to enter through the stoma or for urinary tract infections to develop, given the changes in the urinary system's structure and function.
Choice D rationale
Fluid volume deficit is a risk for clients with an ileal conduit because of the potential for increased fluid loss through the stoma, necessitating careful monitoring and management of fluid intake and output.
Choice E rationale
Disturbed body image is a risk due to the physical changes and the presence of a stoma, which can affect the client's perception of their body and self-image.
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