The nurse is admitting a client who has acute glomerulonephritis caused by beta streptococcus. What drug therapy would the nurse expect to be prescribed for this client?
Antihypertensives
Anti-lipids
Antidepressants
Antibiotics
The Correct Answer is D
Rationale:
A. Antihypertensives may be prescribed as supportive therapy to control elevated blood pressure, which is common in glomerulonephritis. However, they do not address the underlying cause, which is the streptococcal infection.
B. Anti-lipids (lipid-lowering agents) are not a standard treatment for acute glomerulonephritis. While hyperlipidemia can occur in chronic kidney disease, it is not the priority in the acute phase caused by infection.
C. Antidepressants may be used for patients experiencing long-term chronic illness–related depression, but they have no therapeutic role in treating acute glomerulonephritis.
D. Antibiotics are the expected and priority therapy for acute glomerulonephritis caused by beta-hemolytic Streptococcus infection. Treating the infection with appropriate antibiotics (e.g., penicillin) helps eliminate the organism, prevent further immune response, and reduce the risk of additional kidney damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Itching (pruritus) in CKD is caused by uremic toxin buildup and high phosphorus levels. While uncomfortable, it is not immediately life-threatening.
B. Blood pressure of 158/90 mm Hg indicates hypertension, which is a chronic issue in CKD but does not require immediate intervention compared with acute complications.
C. Halitosis and stomatitis are signs of uremia, common in CKD, but they are not acutely dangerous and can be managed after more urgent needs are addressed.
D. Kussmaul respirations are deep, labored breathing that occur in response to metabolic acidosis, a serious CKD complication due to the kidneys’ inability to excrete acid. This is a life-threatening condition requiring immediate assessment and intervention.
Correct Answer is A
Explanation
Rationale:
A. The development of shortness of breath during a rapid IV infusion of normal saline indicates possible fluid overload and pulmonary edema, especially in a client with acute kidney injury (AKI) who has impaired fluid excretion. The nurse’s priority action is to slow or decrease the rate of the IV infusion to prevent further respiratory compromise while maintaining perfusion. After doing so, the nurse should notify the healthcare provider for reassessment and potential adjustment of fluid orders.
B. Calculating the mean arterial pressure (MAP) can help assess perfusion status but does not address the immediate respiratory distress. This is a secondary assessment step after the client is stabilized.
C. Checking the pulse provides limited information in this situation and does not address the cause of the client’s respiratory distress or prevent worsening pulmonary edema.
D. Inserting a pulmonary artery catheter is an invasive diagnostic procedure that requires provider order and is not an immediate nursing intervention for acute shortness of breath.
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