A client being discharged after treatment for nephritis is ...

[karlynnae]

A client being discharged after treatment for nephritis is concerned about having adequate stamina to care for the children after discharge. Which statement made by the nurse would be most appropriate to address the client's concern?
 
  A) Tell your spouse he has to help you.
  B) You will be able to keep up with your family's needs once you return home.
  C) It sounds like you need some help, so I'll contact Social Services for support.
  D) Maybe your children should go and stay with a relative or neighbor for a few weeks.

Question 2

The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis. Which classic manifestations of this disorder should the nurse expect to assess in this client?
 
  Select all that apply.
  A) Edema
  B) Weight loss
  C) Hematuria
  D) Acute flank pain
  E) Proteinuria

[karlss]

Answer to Question 1

Answer: C

The nurse should not assume that the client has a spouse. The client will be easily fatigued and will need assistance after treatment for nephritis. The nurse should contact Social Services to obtain support for the client. The client might not have family nearby or neighbors who are available to care for her children for a few weeks.

Answer to Question 2

Answer: A, C, E

Hematuria, proteinuria, and edema are the classic signs of glomerular disease because this disorder affects the structure and function of the glomerulus, disrupting glomerular filtration. This increased permeability in the glomeruli leads to plasma proteins being lost in the urine as well as red blood cells. Edema occurs because of the loss of plasma proteins, namely albumin. Acute flank pain is often more characteristic of renal calculi. Weight loss is a nonspecific symptom that can occur with many disorders, but not typically with glomerulonephritis.