Sherpath: Renal
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A patient presents with sudden onset of gross hematuria,
proteinuria and hypertension. In assessing this patient, what
statement best supports the importance for the nurse to assess
the presence of throat discomfort over the past two weeks?
Streptococcal pharyngitis can induce glomerulonephritis.
Hemolytic uremic syndrome (HUS) initially presents with
pharyngitis.
Hematuria is the primary indicator that the patient has
nephrotic syndrome caused by E. coli.
,Throat discomfort is an indication of edema which is the
primary cause of nephrotic syndrome. - answer Streptococcal
pharyngitis can induce glomerulonephritis.
A family brings their toddler to the clinic because of frothy urine
and a swollen face. Serum analysis confirms hypoalbuminemia
and elevated hematocrit levels. The child is normotensive.
Based on this clinical data, what care measure should the nurse
anticipate in managing this patient?
Hemodialysis to decrease edema
Immunosuppression with corticosteroids
Give normal saline IV to decrease hematocrit
Decrease protein in diet to compensate for hypoalbuminemia -
answer Immunosuppression with corticosteroids
Which set of clinical evidence will prompt a nurse to prepare for
managing a patient with glomerulonephritis over nephrotic
syndrome?
, Select all that apply.
Hematuria
Hypotensive
Hypertensive
Frothy urine
Pallor & fatigue
Abrupt onset edema - answer Hematuria
Hypertensive
Abrupt onset edema
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