A client with glomerulonephritis is prescribed angiotensin-converting enzyme (ACE) inhibitors. What is the primary purpose of ACE inhibitors in the management of this condition?

To enhance sodium reabsorption in the kidneys

To reduce proteinuria

To promote potassium excretion

To inhibit aldosterone production

Answer and Explanation

The Correct Answer is B

A) Incorrect. ACE inhibitors do not enhance sodium reabsorption; they actually decrease sodium reabsorption in the kidneys.

B) Correct. ACE inhibitors are commonly prescribed to reduce proteinuria (excessive protein in the urine), which is a common symptom of glomerulonephritis.

C) Incorrect. ACE inhibitors do not promote potassium excretion; they can lead to hyperkalemia (high potassium levels) in some cases.

D) Incorrect. While ACE inhibitors can affect aldosterone levels, their primary role in glomerulonephritis is to reduce proteinuria and manage blood pressure.

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Correct Answer is C

Explanation

A) Incorrect. Heavy alcohol consumption is not a common predisposing factor for APSGN.

B) Incorrect. Exposure to lead is unrelated to the development of APSGN.

C) Correct. APSGN is most commonly associated with streptococcal infections, particularly strep throat.

D) Incorrect. High dietary intake of calcium is not a common predisposing factor for APSGN.

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 is prescribed angiotensin-converting enzyme (ACE) inhibitors. What is the primary purpose of ACE inhibitors in the management of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is C

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 client with suspected glomerulonephritis undergoes a urinalysis. What abnormality in the urine is commonly associated with glomerulonephritis and is characterized by the presence of excessive protein?

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

A nurse is discussing the role of the immune system in glomerulonephritis with a client. Which immune response is commonly associated with the development of immune complex-mediated glomerulonephritis?

A nurse is explaining the pathophysiology of glomerulonephritis to a client. What is the primary underlying process that occurs in glomeruli leading to this condition?

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

A nurse is discussing the importance of follow-up care with a client who has recovered from an acute episode of glomerulonephritis. What key aspect of follow-up care should the nurse emphasize to the client?