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 A
Explanation
A. Flat plate: A flat plate of the abdomen (plain X-ray) is safe and does not involve contrast dye.
B. Intravenous pyelogram: This procedure involves the use of contrast dye, which is nephrotoxic and contraindicated in patients with renal insufficiency or diabetes mellitus due to the risk of worsening kidney function.
C. Ultrasonography: Ultrasounds do not involve dye or radiation and are safe for patients with renal insufficiency or diabetes.
D. Renal scan: While renal scans can involve radioactive material, they are generally safer for assessing kidney function in these patients compared to an IV pyelogram.
Correct Answer is A
Explanation
A. Introduction of pathogens into the bladder: Repeated catheterizations significantly increase the risk of introducing pathogens, leading to urinary tract infections.
B. Frequent genital exposure of the patient: While exposure may be uncomfortable for the patient, it is not the greatest concern.
C. Presence of the indwelling catheter: This question refers to frequent catheterizations, not an indwelling catheter, though both carry infection risks.
D. Causing urethral erosion: Urethral trauma can occur but is less concerning than infection.
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