Question

Case Study N.G. is a 21-year-old year-old college student who is admitted to the hospital with a diagnosis acute poststreptococcal glomerulonephritis. He was seen at the college's student neam center because of swelling around his eyes and rusty-colored urine. His history based on medical records from the student health center indicates that he had a sore throat several weeks ago that he ignored because it resolved in 4 to 5 days. His past medical history positive for type 1 diabetes mellitus since the age of 7. However, he has maintained excellent control of his serum glucose levels via intensive insulin therapy. Before caring for N.G., you review his admission laboratory findings, which reveal gross hematuria, moderate proteinuria, and red blood cell (RBC) casts in the urine, a blood urea nitrogen (BUN) of 28 mg/dL (10 mmol/L), a creatinine of 1.4 mg/dL (123.8 mmol/L), a serum glucose level of 131 mg/dl, and decreased C3 and CH50 complement levels. An ASO (antistreptolysin O) titer was 240 Todd units. During the morning assessment of N.G., has vital signs are as follows: BP 154/98 mm Hg, heart rate 86 beats/min, respiratory rate 16 breaths/min, and temperature 98.8°F (37.1°C). He has periorbital edema and 3+ pitting edema of his ankles, and he denies any pain. His urinary output from the previous 8 hours was 200 ml 1. You recognize that N.G. has a decreased glomerular filtration rate based on the findings of a. hematuria. b. proteinuria. c. elevated BUN and creatinine. d. periorbital and peripheral edema. 2. When planning care for N.G.. you consider the interprofessional care indicated for patients with acute poststreptococcal glomerulonephritis. Select all the interventions that are indicated in the management of N.G. There are 8 correct answers. a. Administration of antibiotics b. Administration of antihypertensive agents c. Administration of corticosteroids d. Administration of diuretics e. Administration of insulin 1 Capillary blood glucose monitoring before meals and at bedtime g. Daily weights h. Intake and output 1. High protein diet Rest k. Sodium and fluid restriction

Answer 1

1,a, hematuria
b, proteinuria
c, Elevated BUN and creatinine
d, Periorbital, and peripheral edema
when kidney function decrease there will be low GFR. It causes hematuria, protein in the urine, edema in the ankle, feet, hands, and face and high BUN and creatinine concentration
2, a, Administration of antibiotics
b, Administration of antihypertensive
c, administration of corticosteroids
d, administration of diuretics
g, daily weight
h, intake, and output
j, rest
k, sodium and fluid restriction
Administration of antibiotics, diuretics, corticosteroids, antihypertensives treat strep infection
strict intake and output help for avoiding low urine output risk
Daily weight checking avoids weight gain, sodium, and fluid restriction help to avoid fluid overload and retention.
3, d, needs to take it easy until his BP returns to normal and his edema subsides.
As a nurse, we should ensure the patient wellbeing and risk factors if he goes to school during this situation. rest can reduce the symptoms and improve the condition. never assure the patient he can go after a few days, it provides the wrong assurance for the patient.
4, b, reflects the glomerular filtration rate and indicate the amount of functioning renal tissue
creatinine clearance test helps to estimate the GFR the rate of blood flow by the kidney.
24 hours of urine collection sample need urine collection for every 6 hours for 24 hours.

Answer 2

Old college student