A client diagnosed with glomerulonephritis is at risk for developing acute kidney injury. Which of the clinical manifestations should the nurse monitor for?
Decreased central venous pressure
Hypertension
Bradycardia
Decreased cardiac output
The Correct Answer is B
Choice A reason: Decreased central venous pressure is not typically associated with glomerulonephritis. This condition often leads to fluid retention and increased pressure within the blood vessels.
Choice B reason: Hypertension is a common manifestation of glomerulonephritis due to fluid retention and impaired kidney function. The kidneys are unable to excrete excess fluid, leading to increased blood pressure.
Choice C reason: Bradycardia is not typically associated with glomerulonephritis. The condition primarily affects kidney function and fluid balance, rather than heart rate.
Choice D reason: Decreased cardiac output can occur in severe cases of acute kidney injury, but it is not a primary manifestation of glomerulonephritis. Monitoring blood pressure and fluid status is more critical in these patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Beta blockers are medications that can slow the heart rate, leading to sinus bradycardia. They are often prescribed for managing hypertension, arrhythmias, and other cardiovascular conditions. They work by blocking the effects of adrenaline on the heart, which reduces heart rate and blood pressure.
Choice B reason: Fever typically causes an increase in heart rate (tachycardia) rather than a decrease. The body's metabolic rate increases to fight infection, resulting in a higher heart rate.
Choice C reason: Athletism can result in sinus bradycardia because athletes often have a lower resting heart rate due to the increased efficiency of their cardiovascular system. Their hearts pump more effectively, requiring fewer beats per minute to circulate blood throughout the body.
Choice D reason: Sleeping naturally leads to a slower heart rate due to the relaxation of the body and reduced metabolic demands during rest. Sinus bradycardia during sleep is generally considered normal and not a cause for concern.
Correct Answer is C
Explanation
Choice A reason: Blood urea nitrogen (BUN) levels are used to assess kidney function and are not specific to heart failure.
Choice B reason: Hematocrit levels indicate the proportion of red blood cells in the blood and are not specific to heart failure. They are used to assess anemia and other blood disorders.
Choice C reason: Brain natriuretic peptide (BNP) levels are elevated in heart failure. BNP is released by the ventricles in response to increased pressure and volume overload. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.
Choice D reason: Hemoglobin levels indicate the oxygen-carrying capacity of the blood and are used to assess anemia but are not specific to heart failure.
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