A female client with suspected glomerular disease has been referred to a nephrologist. The nurse knows that which of the following clinical manifestations may be present with the diagnosis of acute nephritic syndrome? Select all that apply
A)
Sudden onset of hematuria
B)
Proteinuria
C)
Flank pain
D)
Excess urine output
E)
Edema
Ans:
A, B, E
Feedback:
In its most dramatic form, the acute nephritic syndrome is characterized by sudden onset of hematuria, variable degrees of proteinuria, diminished GFR, oliguria, and signs of impaired renal function. Inflammatory processes damage the capillary wall. This damage to the capillary wall allows RBCs to escape into the urine and produce a decrease in GFR. Extracellular fluid accumulation, hypertension, and edema develop because of the decreased GFR. Flank pain is usually associated with kidney stones. Oliguria occurs rather than excess urine output.
You might also like to view...
A major cause of health-related problems is the increase in the incidence of chronic conditions. This is the case not only in developed countries like the United States but also in developing countries
What factor has contributed to the increased incidence of chronic diseases in developing countries? A) Developing countries are experiencing an increase in average life span. B) Increasing amounts of health research are taking place in developing countries. C) Developing countries lack the health infrastructure to manage illness. D) Developing countries are simultaneously coping with emerging infectious diseases.
What is the best rationale for including family in the client's therapy within the inpatient milieu?
1. To structure a program of social and work-related activities 2. To facilitate discharge from hospitalization 3. To provide a concrete demonstration of caring 4. To encourage the family to model positive behaviors
Why is it important for the new graduate LPN to seek a job with strong support systems?
1. Support systems will make the job easier. 2. Social needs will be met more effectively. 3. Support systems will help ensure job safety. 4. Self-esteem needs will be met more effectively.
The nurse is concerned that a client is moving into the manic phase of bipolar disorder when what is assessed?
Standard Text: Select all that apply. 1. Not sleeping 2. Losing weight 3. Sluggish activity 4. Complaints of muscle pain 5. Constant talking