The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply?
a. The antibiotic therapy contributes to labile blood pressure values.
b. Hypotension leading to sudden shock can develop at any time.
c. Acute hypertension is a concern that requires monitoring.
d. Blood pressure fluctuations indicate that the condition has become chronic.
ANS: C
Blood pressure monitoring is essential to identify acute hypertension, which is treated aggressively. Antibiotic therapy is usually not indicated for glomerulonephritis. Hypertension, not hypotension, is a concern in glomerulonephritis. Blood pressure control is essential to prevent further renal damage. Blood pressure fluctuations do not provide information about the chronicity of the disease.
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