Question

1. The nurse recognized that NG had decreased filtration rate based on the finding of A. hematuria B. proteinuria C. elevated BUN and creatinine D. periorbital and peripheral edema 2. When planning care for N.G. the nurse considers the collaborative management indicated for patients with acute post streptococcal glomerulonephritis Select all that apply administration of antibiotics administration of antihypertensive agents administration of corticosteroids administration of diuretics daily weights intake and output moderate low protein diet sodium and fluid restriction • The nurse plans to promote rest for N.G. but when she walks into the room she finds him pacing because he is worried about missing his classes. He asks why he has to stay in bed when he doesn't feel bad. The best response by the nurse is A. lying down will help relieve the edema B. his hypertension will become worse with activity C. activity and exercise will increase the stress on the kidneys D. activity increase his metabolic rate which is already increase with his infection 4. Three days after his admission N.G. experiences increased edema and his BP rises to 182/102. His BUN and Creatinine elevate to 42 and 1.8 respectively and he continues to have marked hematuria and proteinuria. He is placed on strict bedrest and antihypertensive drugs are started in addition to corticosteroids and increased diuretic doses. His health care provider is concerned that he may be developing rapidly progressive glomerulonephritis and orders a creatinine clearance test. The nurse knows that the creatinine test A. requires a collection of a urine specimen every 6 hours for 24 hours B. reflects the GFR and reflects the amount of functioning renal tissue C. is a 24 hour collection of urine used to evaluate the kidneys' ability to concentrate urine D. is a measurement of urea and creatinine in the blood at hourly intervals after administration of a measured amount of protein.

Answer 1

1.Decreased filtration rate refers to decrease in the amount of urine produced. In these cases the creatinine and blood urea nitrogen levels increases.

Hematuria refers to passage of blood in urine

Proteinuria refers to presence of protein in the urine

Periorbital edema and peripheral edema refers to increase in the fluid volume of the body

Ans:elevated BUN and creatinine

2.Antibiotics are ne essary to reduce and prevent infection

Antihypertensive drugs to reduce the increased blood pressure

Corticosteroid are not beneficial in this condition

Diuretics to reduce swelling,maintaining intake and output chart

Weight monitoring can be done to add sess for any fluid retention

Diet should have less fluid ,salt ,potassium and less protein

Ans:administration of antibiotics

Administration of antihypertensive agents

Administration of diuretics

Daily weight

Intake and output chart

Sodium and fluid restrictions

3.Bed rest is needed to decrease the signs and symptoms .There is an evidence it can decrease hematuria and high blood pressure Lying down does not have any effect in decreasing edema

It does not affect the kidney directly or metabolism

Ans:his hypertension will become worse with activity

4.Creatinine clearance test is needed to assess the filtration rate.It can be done either through blood or in urine test

6 hour or 24 hour urine is not necessary

It does not measures hourly the creatinine and urea rate

Ans:reflects the GFR and the functioning 9frenal tissue