A nurse is assessing a client with suspected glomerulonephritis. Which symptom is often an early indicator of this condition and is characterized by swelling around the eyes and in the lower extremities?

Hematuria

Proteinuria

Oliguria

Periorbital edema

Answer and Explanation

The Correct Answer is D

A) Incorrect. Hematuria (blood in the urine) is a common symptom but is not typically an early indicator of glomerulonephritis.

B) Incorrect. Proteinuria (excess protein in the urine) is a common symptom but is not typically an early indicator of glomerulonephritis.

C) Incorrect. Oliguria (decreased urine output) may occur in more advanced stages of glomerulonephritis but is not typically an early symptom.

D) Correct. Periorbital edema (swelling around the eyes) and edema in the lower extremities are often early indicators of glomerulonephritis due to fluid retention.

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Correct Answer is B

Explanation

A) Incorrect. Anticoagulants are not typically prescribed to control blood pressure in glomerulonephritis; they are used to prevent blood clot formation.

B) Correct. Diuretics, specifically thiazide diuretics, are often prescribed to manage hypertension and reduce fluid retention in glomerulonephritis.

C) Incorrect. Antibiotics are prescribed to treat underlying infections but may not directly control blood pressure.

D) Incorrect. Antacids are used to relieve symptoms of gastrointestinal conditions and do not play a primary role in managing blood pressure in glomerulonephritis.

A. Hypertension B. Recent respiratory infection C. Diabetes mellitus D. Familial history

Correct Answer is B

Explanation

A) Incorrect. Hypertension can be a complication of glomerulonephritis, but it is not a cause of poststreptococcal glomerulonephritis (PSGN).

B) Correct. PSGN is often linked to recent respiratory infections, particularly those caused by streptococcal bacteria.

C) Incorrect. Diabetes mellitus is not a common cause of PSGN.

D) Incorrect. Familial history may be a risk factor for some kidney diseases, but it is not a direct cause of PSGN.

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A nurse is assessing a client with suspected glomerulonephritis. Which symptom is often an early indicator of this condition and is characterized by swelling around the eyes and in the lower extremities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with glomerulonephritis is experiencing hypertension. Which medication class is commonly prescribed to control blood pressure in clients with this condition?

Correct Answer is B

Explanation

A nurse is discussing the possible causes of glomerulonephritis with a client. Which factor is often linked to poststreptococcal glomerulonephritis (PSGN)?

Correct Answer is B

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?

A nurse is explaining to a client the importance of a kidney biopsy in diagnosing glomerulonephritis. What is the primary purpose of a kidney biopsy in this context?

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?

A nurse is educating a client about the risk factors for glomerulonephritis. Which lifestyle factor is often associated with an increased risk of chronic glomerulonephritis?

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

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 asks a nurse about the risk factors for developing glomerulonephritis. Which factor should the nurse explain as a common predisposing condition for membranous glomerulonephritis?

A nurse is educating a client with glomerulonephritis about dietary modifications. Which dietary recommendation is appropriate to help manage this condition?