Author Question: A nurse reviews laboratory results for a client with glomerulonephritis. The client's glomerular ... (Read 126 times)

lak

  • Hero Member
  • *****
  • Posts: 546
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
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
 

Did you know?

Everyone has one nostril that is larger than the other.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

For a complete list of videos, visit our video library