A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?
“You need to increase your daily fluid intake to 2 liters per day.”
“You will be prescribed an antifungal agent.”
“You should ambulate in the halls three times daily.”
“You should decrease your sodium intake.”
The Correct Answer is D
Choice A reason: Increasing daily fluid intake to 2 liters per day is not typically recommended for patients with acute glomerulonephritis and edema. In fact, fluid restriction is often necessary to manage edema and prevent fluid overload, which can exacerbate the condition.
Choice B reason: Prescribing an antifungal agent is not a standard treatment for acute glomerulonephritis unless there is a specific indication of a fungal infection, which is not commonly associated with this condition.
Choice C reason: While ambulation is generally good for overall health, recommending a specific frequency of ambulation in the halls three times daily without considering the patient’s overall condition and mobility is not appropriate. The level of activity should be tailored to the individual’s tolerance and clinical status.
Choice D reason: Decreasing sodium intake is a key recommendation for patients with acute glomerulonephritis, especially when edema is present. Sodium restriction helps to manage fluid retention and reduce swelling. It is also beneficial for controlling blood pressure, which can be elevated in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
The statement that having a total cholesterol level below 200 mg/dL increases the risk for a stroke is incorrect. In fact, maintaining a total cholesterol level below 200 mg/dL is generally considered desirable and can help reduce the risk of stroke and heart disease. High cholesterol levels can lead to atherosclerosis, which is the buildup of plaques in the arteries, increasing the risk of a stroke.
Choice B reason:
The use of glucocorticoids is not typically associated with decreasing the risk of a stroke. Glucocorticoids are a type of corticosteroid hormone that is often prescribed for their anti-inflammatory and immunosuppressive effects. However, long-term use of glucocorticoids can actually increase the risk of developing conditions that may lead to a stroke, such as high blood pressure and diabetes.
Choice C reason:
Losing excess weight is a recognized way to decrease the risk of a stroke for individuals with diabetes mellitus. Excess weight, especially around the abdomen, can increase the likelihood of high blood pressure, high cholesterol, and type 2 diabetes, all of which are risk factors for stroke. Weight loss can improve these risk factors and thus lower the risk of stroke.
Choice D reason:
An HbA1c level of 6 percent or less is typically a goal in diabetes management to indicate good blood sugar control. Lower HbA1c levels are associated with a reduced risk of complications from diabetes, including stroke. Therefore, an HbA1c level of 6 percent or less does not increase the risk of stroke; rather, it suggests that the diabetes is well-managed.
Correct Answer is C
Explanation
Choice A Reason:
The ammonia level of 55 mcg/dL falls within the normal range of 10 to 80 mcg/dL. Ammonia is a byproduct of protein metabolism and is converted to urea by the liver before being excreted by the kidneys. Elevated levels can indicate liver dysfunction, but in this case, the value does not warrant concern.
Choice B Reason:
A bilirubin level of 1.0 mg/dL is at the upper limit of the normal range, which is 0.3 to 1.0 mg/dL. Bilirubin is produced during the normal breakdown of red blood cells and is processed by the liver. While this value is at the higher end, it is not abnormal and does not require reporting to the provider unless there are symptoms of jaundice or other clinical signs of liver disease.
Choice C Reason:
The platelet count of 60,000/mm³ is significantly below the normal range of 150,000 to 450,000/mm³. Platelets are crucial for blood clotting, and a low count, known as thrombocytopenia, can increase the risk of bleeding, especially concerning in the context of an invasive procedure like a liver biopsy. This value should be reported to the provider as it may necessitate a change in the biopsy plan or require intervention to address the low platelet count.
Choice D Reason:
An AST level of 34 units/L is at the upper boundary of the normal range. AST is an enzyme found in high amounts in the liver, heart, and muscles, and it is released into the bloodstream when any of these tissues are damaged. While this value is at the upper limit, it is not elevated and typically would not need to be reported unless there are other indicators of liver injury or the patient is symptomatic.
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