A 19-year-old patient reports flank pain and scanty urination. The nurse notices periorbital edema, and the urinalysis reveals white blood cells, red blood cells, albumin, and casts
What question would be most important for the nurse to include in data collection?
a. "Have you had any gastrointestinal problems lately?"
b. "Have you had a strep infection of the throat or skin recently?"
c. "Are you sexually active?"
d. "Is your vision blurred?"
ANS: B
The patient has symptoms of glomerulonephritis, which can be caused by a variety of factors but is most commonly associated with a group A beta-hemolytic streptococcus infection following a streptococcal infection of the throat or skin.
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