While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure readings are taken so often. Which response by the nurse is most accurate?
Sodium intake with meals and snacks affects the blood pressure.
Hypotension leading to sudden shock can develop at any time.
Elevated blood pressure must be anticipated and identified quickly.
Blood pressure fluctuations mean that the condition has become chronic.
The Correct Answer is C
Choice A reason: While sodium intake can affect blood pressure, this response does not address the importance of frequent blood pressure monitoring in the context of acute glomerulonephritis.
Choice B reason: Hypotension leading to sudden shock is not a common complication of acute glomerulonephritis; instead, hypertension is more likely due to fluid retention and kidney impairment.
Choice C reason: Elevated blood pressure is a significant concern in acute glomerulonephritis due to fluid retention and decreased kidney function. Early identification and management of hypertension are crucial to prevent complications such as seizures or heart failure.
Choice D reason: Blood pressure fluctuations do not necessarily indicate that the condition has become chronic. Frequent monitoring is necessary to manage acute symptoms and prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Washing for a total of 20 seconds is correct and meets hand hygiene guidelines.
Choice B reason: Lathering using a circular movement is an appropriate technique for thorough handwashing.
Choice C reason: Turning the water off using bare hands can lead to recontamination of the hands. The UAP should use a paper towel to turn off the faucet.
Choice D reason: Holding hands below elbows when rinsing is correct to allow water to run off the hands and prevent contamination.
Correct Answer is C
Explanation
Choice A reason: Assisting the client to lie down may increase the risk of aspiration.
Choice B reason: Supplemental liquid feedings may be considered but do not address the immediate issue.
Choice C reason: Demonstrating the tucked-chin position can help reduce the risk of aspiration by ensuring the airway is protected during swallowing.
Choice D reason: Assistive feeding devices may help but do not address the immediate issue of frequent coughing during meals.
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