A week after recovering from strep throat, a child is diagnosed with post-streptococcal glomerulonephritis. Expected signs and symptoms (S&S) of a patient diagnosed with glomerulonephritis include which is caused by

chancres inflaming the glomeruli: syphilis.

increased urine output: an increased glomerular filtration rate (GFR).

poor skin turgor: fluid shifting from tissue to blood secondary to hyperproteinemia.

edema: fluid shifting from blood to tissue secondary to hypoproteinemia.

Answer and Explanation

The Correct Answer is D

A. Chancres are not associated with glomerulonephritis; this option is incorrect as it refers to syphilis, which does not cause this condition.

B. Glomerulonephritis typically leads to decreased urine output due to reduced GFR, not increased urine output.

C. Poor skin turgor is usually indicative of dehydration rather than hyperproteinemia; in glomerulonephritis, the issue is typically a loss of proteins in the urine, leading to edema.

D. In post-streptococcal glomerulonephritis, hypoproteinemia (loss of protein due to kidney damage) causes fluid to shift from the vascular space to tissues, resulting in edema.

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Correct Answer is D

Explanation

A. Medications in unstable angina aim to prevent platelet aggregation and thrombus formation, not increase platelet adhesion.

B. Increasing preload would increase cardiac workload, which is counterproductive in managing unstable angina, as the goal is to reduce workload on the heart.

C. Constricting coronary arteries would worsen ischemia and exacerbate unstable angina, not help it.

D. Decreasing afterload (the resistance the heart must pump against) reduces the workload on the heart, helping to improve cardiac output and alleviate ischemia in unstable angina.

A. Increase capillary refill time. B. Rumbling heart murmur. C. Intermittent claudication. D. Jugular venous distension.

Correct Answer is A

Explanation

A. An increased capillary refill time suggests reduced perfusion and may indicate decreased cardiac output, which is critical to assess in patients with atrial fibrillation as it can lead to hemodynamic instability.

B. A rumbling heart murmur may suggest valvular disease but is not specifically indicative of decreased cardiac output in this scenario.

C. Intermittent claudication typically indicates peripheral arterial disease and is not a direct sign of decreased cardiac output.

D. Jugular venous distension can indicate fluid overload or right-sided heart failure, but it is not the most direct indicator of decreased cardiac output compared to capillary refill time.

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A week after recovering from strep throat, a child is diagnosed with post-streptococcal glomerulonephritis. Expected signs and symptoms (S&S) of a patient diagnosed with glomerulonephritis include which is caused by

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Naxlex Comprehensive Predictor Exams

A nurse caring for a patient with unstable angina will most likely need to give medications to

Correct Answer is D

Explanation

Which assessment finding alerts the nurse to the possibility of decreased cardiac output in the patient who suddenly develops atrial fibrillation?

Correct Answer is A

Explanation

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