A nurse is caring for a patient with acute glomerulonephritis. What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?
Irritability and hyperactivity
Low blood volume with polyuria
Low levels of BUN and creatinine
Moderate to high blood pressure
The Correct Answer is D
A. Irritability and hyperactivity: Glomerulonephritis does not directly cause these symptoms; neurological changes are more associated with uremia in advanced kidney disease.
B. Low blood volume with polyuria: Glomerulonephritis often leads to fluid retention rather than polyuria, resulting in increased blood pressure.
C. Low levels of BUN and creatinine: BUN and creatinine levels are typically elevated due to impaired filtration.
D. Moderate to high blood pressure: The inflammatory process in glomerulonephritis often leads to fluid retention and hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.
B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.
C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.
D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.
Correct Answer is A
Explanation
A. Prevent further damage to his kidneys that could lead to renal failure: The primary goal in managing pyelonephritis is to prevent complications such as renal damage or progression to renal failure.
B. Give pain relief with analgesics and antispasmodics: Pain relief is important but secondary to preventing renal damage.
C. Provide adequate nutrition with a stable body weight: Nutrition is important but not the primary goal in acute pyelonephritis.
D. Provide adequate hydration with pulse and blood pressure within patient norms: Hydration is crucial but supports the primary goal of preserving kidney function.
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