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Author Question: The nurse is caring for a patient with chronic glomerulonephritis. Which intervention should the ... (Read 78 times)

soccerdreamer_17

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The nurse is caring for a patient with chronic glomerulonephritis. Which intervention should the nurse add to this patient's plan of care to address excess body fluid?
 
  1. Weigh daily on the same scale.
  2. Document energy level.
  3. Schedule activities to conserve energy.
  4. Assess for signs of infection.

Question 2

Three weeks after being treated for strep throat, a patient comes into the clinic with signs of acute glomerulonephritis. What symptom will the nurse most likely find upon assessment of this patient?
 
  1. periorbital edema
  2. hunger
  3. polyuria
  4. polyphagia



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ankilker

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Answer to Question 1

Correct Answer: 1
To address excess body fluid, the nurse should add daily weights with a consistent technique to the patient's plan of care. Accurate daily weights are the best indicator of approximate fluid balance. Energy level and signs of infection do not address the issue of excess body fluid.

Answer to Question 2

Correct Answer: 1
Acute proliferative glomerulonephritis is characterized by an abrupt onset of hematuria, proteinuria, salt and water retention, and evidence of azotemia that occurs 10 to 14 days after the initial infection. Salt and water retention increase extracellular fluid volume, which leads to hypertension and edema. The edema is primarily noted in the face, particularly around the eyes or periorbital edema. Hunger (polyphagia) and polyuria are symptomatic of diabetes mellitus.





 

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