Question: Nursing management of the child with acute glomerulonephritis (AGN) would include which interventions? Select all that apply.
1. Strict bedrest in the acute phase
2. Monitor for acute hypertension
3. Protein and sodium restricted diet
4. Daily weights with strict intake and output
5. Closely monitor serum albumin
6. Administer diuretics as ordered
Rationale: Acute hypertension (2) should be anticipated and therefore monitored closely. Fluid overload is assessed by monitoring daily weights and intake and output (4). Diuretic therapy (6) is helpful in controlling the hypertension and edema in the early stages. Strict bedrest (1) is no longer required; most children fatigue easily and restrict their own activities. Sodium (3) is only moderately restricted but protein is not in the acute phase. The serum albumin (5) is closely monitored in nephrotic syndrome but not in AGN.
Cognitive Level: Analysis
Nursing Process: Evaluation
NCLEX Test Plan Category: Physiological Integrity
This week’s NCLEX exam practice question came from:
Manno: Mosby's Review Cards for the NCLEX-RN Examination, 3rd Edition, Pediatric Nursing Card 417, Question107
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