A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?
Encourage frequent ambulation.
Obtain weight weekly.
Place the client on a low-protein diet.
Encourage increased fluid intake.
The Correct Answer is B
A. Frequent ambulation could exacerbate the edema and is not a priority in the acute management of this condition.
B. Obtaining weight weekly is an appropriate intervention to monitor for changes in fluid status and guide treatment decisions.
C. A low-protein diet is not a standard treatment for PSGN.
D. Encouraging increased fluid intake is not recommended due to the client's oliguria and risk of fluid overload
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is an inflammation of the peritoneum, the lining of the abdominal cavity. It's a common complication of peritoneal dialysis (PD). Symptoms include nausea, vomiting, diarrhea, abdominal pain, and fever. Fluid discharge from the catheter site and an increased white blood cell count are also indicative of infection, supporting the diagnosis of peritonitis.
B. This is inflammation of the pericardium, the sac surrounding the heart. Symptoms typically include chest pain, shortness of breath, and irregular heartbeat.
C. This is inflammation of the pleura, the membranes surrounding the lungs. Symptoms include chest pain, shortness of breath, and dry cough.
D. This would present with severe abdominal pain, hypotension, and signs of shock. Nausea, vomiting, and diarrhea are not typical symptoms.
Correct Answer is ["4"]
Explanation
To administer a total daily dose of 200 mg of imipramine divided equally every 12 hours, the nurse would need to give two doses of 100 mg each. Since the available tablets are 25 mg each, four tablets would be required to make up a single dose of 100 mg.
Therefore, the nurse should administer four tablets every 12 hours to meet the prescribed daily dosage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.