Question

The patient has a form of glomerular inflammation that is progressing rapidly. She is gaining weight, and the urine output is steadily declining. What is the priority nursing intervention?

A.Monitor the patient's cardiac status.
B.Teach the patient about hand washing.
C.Obtain a serum specimen for electrolytes.
D. Increase direct observation of the patient.

Answer 1

The priority nursing intervention for a patient with rapid glomerular inflammation and declining urine output is to monitor the patient's cardiac status to manage fluid balance and prevent complications.

Step-by-step explanation:

The priority nursing intervention for a patient with rapidly progressing glomerular inflammation, evidenced by weight gain and declining urine output, is to Monitor the patient's cardiac status. This is crucial due to the risk of fluid overload, which can lead to acute congestive heart failure. Close monitoring allows for timely interventions, such as administering diuretics, to manage fluid balance and prevent complications associated with fluid retention. Additionally, monitoring vital signs, including blood pressure and heart rate, is essential in guiding treatment decisions and assessing the patient's response to therapy.