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 D
Explanation
Choice A reason: Researching the religion on social media is not a reliable or appropriate method for understanding individual care needs.
Choice B reason: Consulting with a nurse who shares the same religious beliefs may provide insight but does not address the specific concerns of the client.
Choice C reason: Explaining that every client receives the same high level of care does not address the client's individual religious needs and concerns.
Choice D reason: Asking the client about individual care preferences ensures that the nurse understands and respects the client's specific religious beliefs and practices.
Correct Answer is B
Explanation
Choice A reason: Leg numbness is not a typical symptom of thyroid dysfunction and may be related to other conditions such as peripheral neuropathy.
Choice B reason: Cold sensitivity is a common symptom of hypothyroidism and warrants evaluation of thyroid function.
Choice C reason: Slow weight loss is not a typical symptom of thyroid dysfunction; unexplained weight gain is more indicative of hypothyroidism.
Choice D reason: Muscle weakness can be associated with various conditions, but cold sensitivity is more specific to thyroid issues.
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