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A client has been admitted to the hospital diagnosed with primary acute glomerulonephritis. On assessment, the nurse should FIRST ask the client about a recent history of?

bleeding ulcer

hypertension

fungal infection

streptococcal infection

Answer and Explanation

The Correct Answer is D

A. A bleeding ulcer is not typically associated with acute glomerulonephritis.

B. Hypertension can be a consequence of glomerulonephritis, but it is not the primary cause.

C. Fungal infections are not typically associated with glomerulonephritis.

D. A recent streptococcal infection, particularly throat or skin infections, is often linked to the development of acute glomerulonephritis.

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Correct Answer is ["A","B","E"]

Explanation

A. The amount of irrigation fluid used must be added to the total output to accurately calculate fluid balance.

B. Bright red urine or large clots may indicate bleeding, which should be reported to the surgeon immediately.

C. Irrigation solution preparation does not require sterile technique; clean technique is sufficient for this task.

D. A continual need to void could be a normal post-op symptom, but if it persists or is severe, it should be investigated.

E. Ensuring the drainage tubing is patent and unobstructed is essential for proper urine flow and preventing complications.

A. Notify the provider B. Irrigate the catheter C. Check the catheter for kinks D. Adjust the rate of the bladder irrigant

Correct Answer is C

Explanation

A. Notify the provider: This is not the first action. The nurse should assess and attempt to resolve the issue before escalating it to the provider.

B. Irrigate the catheter: This may be required if the catheter remains obstructed, but the nurse should first assess for and address more straightforward causes like kinks.

C. Check the catheter for kinks: This is the first step because a kink or simple obstruction in the catheter tubing is a common cause of inadequate drainage. Addressing this can resolve the issue without additional interventions.

D. Adjust the rate of the bladder irrigant: The rate of irrigation is essential to prevent clots but should not be adjusted without addressing the immediate issue of no output.

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A client has been admitted to the hospital diagnosed with primary acute glomerulonephritis. On assessment, the nurse should FIRST ask the client about a recent history of?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past 2 hours. Which actions should the nurse take FIRST?

Correct Answer is C

Explanation

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