Nokea
Which statements made by the client's spouse most closely correlate with the diagnosis of acute glomerulonephritis? Select all that apply.
- A. My spouse's face looks rather puffy lately.
- B. Recently my spouse has been quite forgetful.
- C. My spouse has been salting food heavily.
- D. My spouse has been eating very well.
- E. My spouse hasn't been eating very well.
- F. My spouse gets up at night to use the bathroom.
Correct Answer: A,F
Rationale: Facial puffiness and nocturia are symptoms of glomerulonephritis, reflecting fluid retention and impaired kidney function.
You may also like to solve these questions
When the client with an ileal conduit asks about resuming physical activity, which response by the nurse is most appropriate?
- A. Avoid all strenuous activity permanently.
- B. Resume activities gradually as tolerated.
- C. Wait at least 6 months before exercising.
- D. Limit activity to walking only.
Correct Answer: B
Rationale: Resuming activities gradually as tolerated allows the client to regain strength while protecting the stoma.
Which information regarding the care of a cutaneous ileal conduit should the nurse discuss with the client?
- A. Teach the client to instill a few drops of vinegar into the pouch.
- B. Tell the client the stoma should be slightly dusky colored.
- C. Inform the client large clumps of mucus are expected.
- D. Tell the client it is normal for the urine to be pink or red in color.
Correct Answer: C
Rationale: Mucus in the urine is expected with an ileal conduit due to intestinal mucosa in the conduit. Vinegar instillation is not standard, a dusky stoma indicates ischemia, and pink/red urine suggests bleeding, which is abnormal.
The client diagnosed with chronic renal failure (CRF) is prescribed hemodialysis on Monday, Wednesday, and Friday. Which interventions should the nurse implement? Select all that apply.
- A. Weigh the client before and after each treatment.
- B. Discuss the recommended fluid restriction.
- C. Provide potato chips or pretzels as a snack.
- D. Monitor the hemodialysis access site continuously.
- E. Keep up a lively conversation during the treatments.
Correct Answer: A,B,D
Rationale: Weighing pre/post-dialysis assesses fluid removal, fluid restriction education prevents overload, and monitoring the access site prevents complications. Salty snacks increase thirst, and conversation is not a priority intervention.
The nurse is caring for a client with chronic pyelonephritis. Which assessment data support the diagnosis of chronic pyelonephritis?
- A. The client has fever, chills, flank pain, and dysuria.
- B. The client complains of fatigue, headaches, and increased urination.
- C. The client had a group B beta-hemolytic strep infection last week.
- D. The client has an acute viral pneumonia infection.
Correct Answer: B
Rationale: Chronic pyelonephritis presents with subtle symptoms like fatigue, headaches, and polyuria due to long-term renal damage. Acute symptoms (fever, chills) are more typical of acute pyelonephritis. Strep or pneumonia are unrelated.
The client asks, 'What does an elevated PSA test mean?' On which scientific rationale should the nurse base the response?
- A. An elevated PSA can result from several different causes.
- B. An elevated PSA can be only from prostate cancer.
- C. An elevated PSA can be diagnostic for testicular cancer.
- D. An elevated PSA is the only test used to diagnose BPH.
Correct Answer: A
Rationale: Elevated PSA can result from prostate cancer, BPH, prostatitis, or other factors, requiring further evaluation. It is not specific to prostate cancer, testicular cancer, or BPH diagnosis alone.