What is the most appropriate question for the nurse to ask to help determine a potential contributing factor when assessing a client recently diagnosed with acute glomerulonephritis?
"Has anyone in your family had syncope?"
"Have you been sexually active in the last year?"
"Have you been sick within the last 10 days?"
"Have you had low blood pressure the last week?"
The Correct Answer is C
A. A family history of syncope is not a risk factor for acute glomerulonephritis.
B. Sexual activity is not a common contributing factor to glomerulonephritis.
C. Acute glomerulonephritis often develops 1–2 weeks after a streptococcal infection such as strep throat or impetigo. Asking about recent illness helps determine if a prior infection contributed to the condition.
D. Low blood pressure is not typically associated with glomerulonephritis; in fact, hypertension is more common due to fluid retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Acetaminophen may help reduce fever or pain but does not relieve itching, which is the immediate source of discomfort. Aspirin should never be given to children with varicella due to the risk of Reye’s syndrome.
B. Warm baths may actually increase itching or open lesions if the skin softens too much; tepid baths with soothing additives (like oatmeal) are safer.
C. A pediatric antihistamine (e.g., diphenhydramine) helps reduce pruritus, preventing scratching and decreasing the risk of secondary bacterial infection.
D. Applying lotion to open lesions can increase the risk of infection. Moisturizers or calamine lotion are appropriate only for intact skin.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}
Explanation
- Assess for symptoms of hyperglycemia – Non-essential: The client’s presentation is consistent with fluid overload and hypertension, not hyperglycemia. Assessing for hyperglycemia may be done but is not a priority.
- Assess for bilateral peripheral edema – Essential: Bilateral edema is a key indicator of fluid overload and cardiovascular compromise, requiring immediate assessment.
- Measure intake and output every hour – Essential: Accurate I&O monitoring is critical for managing fluid status in clients with edema and hypertension.
- Review the client's most recent CBC results – Non-essential: While helpful for general assessment, CBC does not directly address the acute fluid overload and cardiovascular status.
- Hold furosemide – Contraindicated: Furosemide, a loop diuretic, is typically indicated for fluid overload. Holding it could worsen edema and hypertension.
- Place the client in Trendelenburg position – Contraindicated: Trendelenburg can increase venous return and worsen pulmonary edema or hypertension, making it unsafe for this client.
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