A child is being treated for acute glomerulonephritis, which of the following medications would the nurse expected to be part of the nursing plan of care? (Select two that apply.)

Bronchodilators

Antiemetics

Antihypertensives

Diuretics

Anticoagulants

Answer and Explanation

Correct Answer : C,D

A. Bronchodilators: These are used for respiratory conditions, not glomerulonephritis.
B. Antiemetics: Antiemetics are not indicated unless vomiting is present, which is uncommon in glomerulonephritis.
C. Antihypertensives: Hypertension is a common complication in acute glomerulonephritis and requires treatment.
D. Diuretics: Diuretics may be used to manage fluid overload and reduce edema in these patients.
E. Anticoagulants: Anticoagulants are not routinely used in glomerulonephritis unless there is a specific indication.

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Correct Answer is A

Explanation

A. An oral rehydrating solution, such as Pedialyte: Oral rehydration solutions are the best choice for managing dehydration and electrolyte imbalance during diarrhea.
B. Small amounts of clear fluids such as gelatin: Clear fluids alone, like gelatin, lack the necessary electrolytes to treat diarrhea-induced dehydration.
C. Chicken soup because it's high in sodium: Chicken soup may be too high in sodium and can lead to an electrolyte imbalance.
D. Soft foods with rice, bananas, toast, and applesauce: While suitable in recovery, these foods do not replace the immediate need for rehydration and electrolyte balance.

A. Collect a stool sample from the toddler B. Determine if the toddler is voiding C. Initiate isotonic fluids with 20 mEq/L potassium chloride D. Request evaluation of the toddler’s serum electrolytes

Correct Answer is B

Explanation

A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.

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A child is being treated for acute glomerulonephritis, which of the following medications would the nurse expected to be part of the nursing plan of care? (Select two that apply.)

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