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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 D

Explanation

A. Weight gain is typically seen in the oliguric phase, not the diuresis phase. In the diuresis phase, the client is excreting excess fluid, leading to weight loss.

B. A creatinine level of 1.0 is within the normal range and would not be expected during the diuresis phase of acute kidney injury, when creatinine levels would still be elevated.

C. GFR of 100 mL/min is normal, but in acute kidney injury, the GFR would be decreased. A GFR above 90 mL/min would not be expected in the diuresis phase.

D. Weight loss is a key finding in the diuresis phase due to the loss of excess fluids as the kidneys begin to recover.

A. “I will need to take cyclosporine for the rest of my life." B. "My workouts will consist of playing football with my friends." C. "I will need to monitor my labs frequently," D. “I will weigh myself daily to monitor my fluid status."

Correct Answer is B

Explanation

A. Taking cyclosporine long-term is standard for preventing organ rejection in kidney transplant recipients.

B. Engaging in high-contact sports like football is not advisable immediately post-transplant due to the risk of injury and compromised immunity.

C. Frequent lab monitoring is necessary to assess for complications such as infection, organ rejection, and medication side effects.

D. Monitoring fluid status through daily weights is essential to detect fluid retention or dehydration.

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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

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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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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