Question

The nurse is caring for a patient with acute glomerular inflammation. When assessing for the characteristic signs and symptoms of this health problem, the nurse should include which assessments? Select all that apply.

A) Percuss for pain in the right lower abdominal quadrant.
B) Assess for the presence of peripheral edema.
C) Auscultate the patients apical heart rate for dysrhythmias.
D) Assess the patients BP.
E) Assess the patients orientation and judgment.

Answer 1

For a patient with acute glomerulonephritis, the nurse should assess for peripheral edema and monitor blood pressure, which are indicative of the condition.

Step-by-step explanation:

When caring for a patient with acute glomerular inflammation, a condition known as glomerulonephritis, it is important to assess for characteristic signs and symptoms.

• Assess for the presence of peripheral edema, which is swelling of the lower legs, hands, and face, indicating fluid retention.
• Assess the patient's blood pressure (BP), as glomerulonephritis can lead to increased blood pressure due to fluid overload and alterations in kidney function.

Assessing for pain in the right lower abdominal quadrant is not specific to this condition and is more associated with appendicitis. Auscultating the patient's apical heart rate for dysrhythmias can be relevant if the patient has complications from hypertension, but it's not a primary symptom of glomerulonephritis. Assessing the patient's orientation and judgment is not directly related to glomerulonephritis, although if there were concerns about the patient's kidney function impacting their mental status (as can happen in severe cases), it might be included.