« previous next »

Author Question: A nurse reviews laboratory results for a client with glomerulonephritis. The client's glomerular ... (Read 78 times)

lak

  • Hero Member
  • *****
  • Posts: 546
on: Jun 25, 2018
A nurse reviews laboratory results for a client with glomerulonephritis. The client's glomerular filtration rate (GFR) is 40 mL/min as measured by a 24-hour creatinine clearance. How should the nurse interpret this finding? (Select all that apply.)
 
  a. Excessive GFR
  b. Normal GFR
  c. Reduced GFR
  d. Potential for fluid overload
  e. Potential for dehydration

Question 2

A nurse teaches a client with polycystic kidney disease (PKD). Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)
 
  a. Take your blood pressure every morning.
  b. Weigh yourself at the same time each day.
  c. Adjust your diet to prevent diarrhea.
  d. Contact your provider if you have visual disturbances.
  e. Assess your urine for renal stones.


Dunkey

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C, D
The GFR refers to the initial amount of urine that the kidneys filter from the blood. In the healthy adult, the normal GFR ranges between 100 and 120 mL/min, most of which is reabsorbed in the kidney tubules. A GFR of 40 mL/min is drastically reduced, with the client experiencing fluid retention and risks for hypertension and pulmonary edema as a result of excess vascular fluid.

Answer to Question 2

ANS: A, B, D
A client who has PKD should measure and record his or her blood pressure and weight daily, limit salt intake, and adjust dietary selections to prevent constipation. The client should notify the provider if urine smells foul or has blood in it, as these are signs of a urinary tract infection or glomerular injury. The client should also notify the provider if visual disturbances are experienced, as this is a sign of a possible berry aneurysm, which is a complication of PKD. Diarrhea and renal stones are not manifestations or complications of PKD; therefore, teaching related to these concepts would be inappropriate.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Benign prostatic hyperplasia. The condition results when an inner capsule of nonfunctional prostate Benign prostatic hyperplasia. The condition results when an inner capsule of nonfunctional prostate
Typical laboratory emergency shower. Typical laboratory emergency shower.
Using small, circular strokes, exfoliate the client’s neck and back. Using small, circular strokes, exfoliate the client’s neck and back.
Measuring the client’s weight with a standard platform scale Measuring the client’s weight with a standard platform scale
Client positioned and draped Client positioned and draped
Video: Cardiac Cycle (Part 3 of 4)

For a complete list of videos, visit our video library