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 ["A","B","C","E"]
Explanation
Choice A reason: Reviewing the last PTT results is important to ensure that the heparin therapy is within the therapeutic range and to assess for potential over-anticoagulation.
Choice B reason: Auscultating bowel sounds in all quadrants helps determine if there is any bowel obstruction or ileus, which can be associated with abdominal pain.
Choice C reason: Monitoring stools for the presence of blood is essential to identify gastrointestinal bleeding, which can present as tarry, black stools.
Choice D reason: Preparing to administer warfarin is not appropriate in the acute management of potential gastrointestinal bleeding and should be done based on the healthcare provider's instructions.
Choice E reason: Assessing the characteristics of pain is important to better understand the cause of abdominal pain and guide further management.
Correct Answer is A
Explanation
Choice A reason: Administering cefazolin, an antibiotic, is a priority to prevent or treat potential infections in the immediate postoperative period.
Choice B reason: Completing a CBC in the morning is important for ongoing assessment but is not an immediate priority.
Choice C reason: Advancing the diet as tolerated is important but can be done after ensuring infection prevention.
Choice D reason: Straight catheterization is necessary if the client is unable to void but is not the immediate priority compared to preventing infection.
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