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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limiting protein intake may be beneficial for certain kidney conditions but is not the priority for nephrolithiasis.
B. Encouraging adequate fluid intake (at least 3 liters per day) is critical to help prevent the formation of kidney stones by promoting urine output and dilution of substances that form stones.
C. Bed rest is not necessary for nephrolithiasis unless the client is in severe pain or experiencing complications.
D. While applying cold compresses may help with pain, increasing fluid intake is the most important action for preventing further stone formation.
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.
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