When admitting a patient with acute glomerulonephritis, it is most important that the nurse ask the patient about

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Question 1 of 5

When admitting a patient with acute glomerulonephritis, it is most important that the nurse ask the patient about

Correct Answer: A

Rationale: Acute glomerulonephritis often follows a streptococcal infection like strep throat (A), making this history critical for diagnosis. Hypertension (B) is a symptom, not cause, and UTIs (C) or stones (D) are unrelated, prioritizing A for assessment.

Question 2 of 5

What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old patient with a creatinine clearance result of 60 mL/min?

Correct Answer: A

Rationale: The creatinine clearance approximates the GFR. The other responses are not accurate.

Question 3 of 5

When collecting a urine specimen from a female patient, which of these actions should the nurse take?

Correct Answer: A

Rationale: Washing the perineum (A) reduces contamination for accurate urinalysis. Waiting an hour (B) is impractical, first void (C) is for specific tests, and bedpan transfer (D) risks contamination, making A the standard procedure.

Question 4 of 5

The nurse is caring for a patient who has an elevated uric acid level. Which of the following could cause this elevated uric acid level?

Correct Answer: B

Rationale: Kidney disease (B), leukemia (D), malnutrition (E), and thiazide diuretics (F) elevate uric acid, but B is a primary cause. GI bleeding (A) and steroids (C) are less direct, making B a significant contributor.

Question 5 of 5

A patient with glomerulonephritis asks How could I have gotten this? How should the nurse respond?

Correct Answer: A

Rationale: Glomerulonephritis can be caused by a variety of factors but is most commonly associated with streptococcus infection.

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