When obtaining the history of a client with acute glomerulonephritis, the nurse should be sure to ask about
a. a history of hypertension.
b. a history of long-term analgesic use.
c. recent respiratory tract infections.
d. recent urinary tract infections.
C
The comprehensive history from the client with acute glomerulonephritis should include infor-mation about recent upper respiratory tract infections (e.g., strep throat), skin infections, scarlet fever, and any history of glomerulonephritis.
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A patient with acute hepatic dysfunction is experiencing a gastrointestinal bleed. The nurse should be prepared to administer which products?
1. Mannitol 2. Antibiotics 3. Albumin 4. Vitamin K 5. Fresh frozen plasma
A patient experiencing multisystem fluid volume deficit has tachycardia and decreased urine output. The nurse realizes these findings are most likely a direct result of which factor?
1. The body's natural compensatory mechanisms 2. Pharmacologic effects of a diuretic 3. Effects of rapidly infused intravenous fluids 4. Cardiac failure
A nurse delegates the task of intake and output to a new nursing assistant. The nurse knows that the assistant understands the task when the assistant states:
A. "I'll record the amount of urine." B. "I'll disregard liquid stool as output." C. "I won't include ice cream or sherbet as oral input." D. "I'll note perspiration and record as small or large amount."
The nurse in the elementary school is observing a 6-year-old child's level of development. At this stage, the nurse anticipates that the child's gross motor skills will enable this child to do which of the following?
a. Hop and jump onto small squares. b. Catch and throw a ball accurately. c. Thread a needle and tie a knot. d. Perform a standing high jump of 90 cm.