Author Question: The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute ... (Read 39 times)

brutforce · **on:** Jun 25, 2018

The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis. What should the nurse assess to learn the most accurate indication of this client's fluid balance?

A) Vital signs
B) Intake and output records
C) Daily weight
D) Serum sodium levels

Question 2

The nurse is caring for an African-American client with nephritis. For which long-term complication should the nurse include interventions to prevent when planning this client's care?

A) Congestive heart failure
B) Diabetes mellitus
C) End-stage renal disease
D) Hypertension

nyrave · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Daily weight provides the most accurate indication of fluid balance because of the pathophysiology of acute glomerulonephritis. Albumin is lost, causing decreased osmotic pressure and fluid shifting into the interstitial spaces. Accurate weights will provide data to indicate that treatments are effective in pulling fluids from interstitial spaces into the vascular system and then out via kidneys. Intake and output records, serum sodium levels, and vital signs will all provide data indicating fluid balance; however, they are not as accurate as daily weight for determining fluid balance.

Answer to Question 2

Answer: C

African-Americans are more likely than Caucasians to progress to end-stage renal disease after nephritis. The nurse should plan interventions to prevent the development of this long-term complication. African-Americans are not more likely to develop congestive heart failure, diabetes mellitus, or hypertension after nephritis.