A child with acute glomerulonephritis is in the playroom and ...

[sdfghj]

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and a headache. What action should the nurse take?
 
  a. Check the urine to see if hematuria has increased.
  b. Obtain the child's blood pressure and notify the health care provider.
  c. Obtain serum electrolytes and send urinalysis to the laboratory.
  d. Reassure the child and encourage bed rest until the headache improves.

Question 2

A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurse's best response?
 
  a. Blood pressure will stabilize.
  b. Your child will have more energy.
  c. Urine will be free of protein.
  d. Urine output will increase.

[onowka]

Answer to Question 1

ANS: B
The premonitory signs of encephalopathy are headache, dizziness, abdominal discomfort, and vomiting. If the condition progresses, there may be transient loss of vision or hemiparesis, disorientation, and generalized tonic-clonic seizures. The health care provider should be notified of these symptoms.

Answer to Question 2

ANS: D
The first sign of improvement in acute glomerulonephritis is an increase in urinary output with a corresponding decrease in body weight. With diuresis, the child begins to feel better, the appetite improves, and the blood pressure decreases to normal with the reduction of edema. Gross hematuria diminishes, in part because of dilution of the red blood cells in the more dilute urine. Renal function and hypocomplementemia usually normalize by 8 weeks.

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