Question

The patient has rapidly progressing glomerular inflammation. Weight has increased and urine output is steadily declining. What is the priority nursing intervention?

A) Assessing for pedal edema.
B) Monitoring urine output hourly.
C) Administering diuretics.
D) Administering antihypertensive medication.

Answer 1

The priority nursing intervention for a patient with rapidly progressing glomerular inflammation, increasing weight, and declining urine output is monitoring urine output hourly. Decreasing urine output may indicate worsening kidney function and the need for immediate medical intervention.

Step-by-step explanation:

The priority nursing intervention for a patient with rapidly progressing glomerular inflammation, increasing weight, and declining urine output is Monitoring urine output hourly. This is because monitoring urine output can provide important information about kidney function and fluid balance. Decreasing urine output may indicate worsening kidney function and the need for immediate medical intervention.

Assessing for pedal edema is also important in this situation, as fluid retention can occur with glomerulonephritis. However, monitoring urine output takes priority as it directly reflects kidney function. Administering diuretics or antihypertensive medication may be part of the treatment plan for glomerulonephritis, but prioritizing urine output monitoring is crucial for assessing the severity of the condition.