A client with glomerulonephritis complains of fatigue, weakness, and pallor. What is the most likely cause of these symptoms?

Electrolyte imbalances

Anemia

Hyperglycemia

Excessive fluid intake

Answer and Explanation

The Correct Answer is B

A) Incorrect. While electrolyte imbalances can occur in glomerulonephritis, they are not typically associated with symptoms of fatigue, weakness, and pallor.

B) Correct. Anemia, often caused by a decrease in erythropoietin production due to kidney dysfunction, is a common cause of fatigue, weakness, and pallor in clients with glomerulonephritis.

C) Incorrect. Hyperglycemia (high blood glucose levels) is not typically associated with these symptoms in glomerulonephritis.

D) Incorrect. Excessive fluid intake is not a likely cause of fatigue, weakness, and pallor in glomerulonephritis.

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Correct Answer is A

Explanation

A) Correct. In glomerulonephritis, renal damage can lead to increased renin production, which in turn raises blood pressure.

B) Incorrect. Glomerulonephritis may affect GFR, but decreased GFR alone is not the primary cause of hypertension in this condition.

C) Incorrect. Elevated blood glucose levels are associated with diabetes mellitus but are not the primary cause of hypertension in glomerulonephritis.

D) Incorrect. Hypercalcemia (high blood calcium levels) is not a common cause of hypertension in glomerulonephritis.

A. Avoiding all physical activity to minimize kidney stress. B. Consuming a high-protein diet to support kidney function. C. Completing a course of prescribed antibiotics as directed. D. Limiting fluid intake to prevent fluid overload.

Correct Answer is C

Explanation

A) Incorrect. Avoiding all physical activity is not necessary to prevent recurrent episodes of glomerulonephritis.

B) Incorrect. While adequate protein intake is important, a high-protein diet is not specifically recommended to prevent recurrent episodes of glomerulonephritis.

C) Correct. Completing a course of prescribed antibiotics is crucial to treat underlying infections that may contribute to glomerulonephritis and prevent recurrence.

D) Incorrect. Limiting fluid intake should be individualized and is not a universal measure to prevent recurrent episodes of glomerulonephritis.

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A client with glomerulonephritis complains of fatigue, weakness, and pallor. What is the most likely cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with glomerulonephritis experiences hypertension as a symptom. What is the underlying mechanism that contributes to the development of hypertension in this condition?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client recovering from an acute episode of glomerulonephritis. What self-care measure should the nurse emphasize to prevent recurrent episodes?

Correct Answer is C

Explanation

A nurse is providing education to a client newly diagnosed with glomerulonephritis. Which dietary recommendation should the nurse emphasize to the client to help manage this condition?

A client is concerned about their risk of developing glomerulonephritis. What should the nurse explain as a common predisposing factor for acute poststreptococcal glomerulonephritis (APSGN)?

A client is undergoing diagnostic testing for suspected glomerulonephritis. Which imaging study is often used to assess kidney size and detect structural abnormalities in the kidneys?

A nurse is caring for a client with glomerulonephritis who is experiencing edema. What non-pharmacological intervention should the nurse recommend to help reduce edema?

A nurse is assessing a client with glomerulonephritis and notes the presence of "cola-colored" urine. Which term accurately describes this symptom?

A client asks a nurse about the possible complications of glomerulonephritis. Which complication is commonly associated with this condition and can lead to hypertension and heart failure?

A client is diagnosed with poststreptococcal glomerulonephritis (PSGN). Which type of infection is most commonly associated with the development of PSGN?

A nurse is explaining the role of the glomeruli in the kidneys to a client with glomerulonephritis. What is the primary function of the glomeruli in kidney physiology?