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 A
Explanation
Choice A reason:It is normal for one breast to be slightly larger than the other. This is a common variation in anatomy and does not typically indicate a problem.
Choice B reason:
The statement that it's common for the skin on the breasts to dimple is not accurate and does not reflect an understanding of breast self-examination. Dimpling of the skin can be a sign of breast cancer, as it may indicate underlying tissue changes. It's important for individuals to report any new dimpling to their healthcare provider.
Choice C reason:Breast self-exams should ideally be performed about 7 days after the start of a period, as hormonal changes during the menstrual cycle can cause breast tissue to feel more lumpy or tender.
Choice D reason:
Performing breast exams every other month does not align with the recommended frequency for breast self-examinations. It is advised that adult women of all ages perform breast self-exams at least once a month to become familiar with the normal look and feel of their breasts and to notice any changes promptly.
Correct Answer is D
Explanation
Choice A Reason:
Activating the fire alarm system is an important step in the event of a fire, as it alerts other staff and triggers emergency protocols. However, the immediate priority is the safety of the client. The nurse should ensure that the client is out of harm's way before activating the alarm.
Choice B Reason:
Using a fire extinguisher at the source of the smoke may be necessary if the fire is small and contained, and if the nurse is trained to do so. However, this action should only be taken after ensuring the client's safety and if it does not pose a risk to the nurse or the client.
Choice C Reason:
Closing the doors to the room and to the bathroom can help contain the smoke and prevent the spread of fire. This is a critical step, but it is not the first action the nurse should take. The nurse's first responsibility is to the safety and well-being of the client.
Choice D Reason:
The first action the nurse should take is to assist the client to a nearby common area, away from the source of the smoke. This aligns with the RACE acronym (Rescue, Alarm, Contain, Extinguish) used in fire safety, which prioritizes removing anyone in immediate danger.
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