Nokea
Acute glomerulonephritis is commonly a result of a preexisting infection of b-hemolytic ___.
- A. streptococci
Correct Answer: streptococci
Rationale: The health history commonly reveals that the onset of acute glomerulonephritis is preceded by b-hemolytic streptococcal infection.
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The nurse is aware that as a person ages there is a loss of which mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons?
- A. filtering
- B. reabsorption
- C. sterile water
- D. concentrating
Correct Answer: A
Rationale: The filtering mechanism is most affected with aging.
The nurse will counsel the young man with chronic prostatitis to avoid which action?
- A. Cessation of intercourse
- B. Taking warm baths
- C. Using stool softeners
- D. Continuing antibiotics when symptoms abate
Correct Answer: A
Rationale: Frequent intercourse may be beneficial to the treatment of chronic prostatitis. Warm baths, stool softeners, and antibiotic therapy are also part of the medical treatment.
The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL. An excessive elevation of BUN could cause which problem?
- A. dehydration.
- B. disorientation.
- C. edema.
- D. catabolism.
Correct Answer: B
Rationale: If the BUN is elevated, preventive nursing measures will be instituted to protect the patient from possible disorientation or seizures.
Why are pediatric patients, especially girls, susceptible to urinary tract infections?
- A. Genetically females have a weaker immune system.
- B. Females have a short and proximal urethra in relation to the vagina.
- C. Girls are more sexually active than males.
- D. Girls have a weakened musculature and sphincter tone.
Correct Answer: B
Rationale: Pediatric patients, especially girls, are susceptible to urinary tract infections because of the short urethra.
The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside, which change in the urine is normal?
- A. proteinuria.
- B. oliguria.
- C. hematuria.
- D. anasarca.
- E. oliguria.
Correct Answer: A,C
Rationale: Proteinuria and hematuria may exist microscopically even when other symptoms subside.