The nurse is planning the care of a patient with chronic glomerulonephritis. What
should the nurse identify as being the goal of treatment for this patient?
Achieving maximum independence
Returning to work as soon as possible
Lifestyle changes
Maintaining renal function
Give this one a try later!
Maintaining renal function
Rationale: Management of all types of glomerulonephritis—acute and
chronic, primary and secondary—focuses on identifying the underlying
disease process and preserving kidney function. In most glomerular
disorders, there is no specific treatment to achieve a cure. Treatment goals
are to maintain renal function, prevent complications and support the
healing process.
,During an office visit, a 55-year-old female patient asks why she has not been
prescribed a daily dose of aspirin when her 56-year-old husband has been. What
should the nurse explain is the most likely reason for this?
Aspirin is not recommended for women.
This must have been an oversight.
She has other medications that could interfere.
The benefit of aspirin in women under age 65 is not clear.
Give this one a try later!
The benefit of aspirin in women under age 65 is not clear.
Rationale: In women, the benefit of low-dose aspirin in reducing the risk for
coronary heart disease is not clear prior to 65 years of age.
Rationale 2: Aspirin is recommended for women over the age of 65.
Rationale 3: This was not an oversight.
Rationale 4: There is not enough information to determine whether the
patient has other medications that could interfere with aspirin.
A nurse is preparing a presentation on coronary heart disease (CHD) for a community
women's club. Which statements should the nurse include in the presentation? (Select
all that apply)
Women are more likely to have an unrecognized myocardial infarction.
Weakness of the legs and back often precede a heart attack.
The mortality rate of young women having an MI is 50 % lower than that of men.
The epigastric pain and nausea experienced with a heart attack are often attributed to
,heartburn.
Common symptoms of myocardial infarction (MI) include shortness of breath and
fatigue.
Give this one a try later!
The epigastric pain and nausea experienced with a heart attack are often
attributed to heartburn.
Common symptoms of myocardial infarction (MI) include shortness of
breath and fatigue.
Women are more likely to have an unrecognized myocardial infarction.
Rationale: Common symptoms of MI in women include epigastric pain or
nausea, which is blamed on heartburn, shortness of breath, fatigue, and
weakness of the shoulders and upper arms.
Rationale 2: Common symptoms of MI in women include epigastric pain or
nausea, which is blamed on heartburn, shortness of breath, fatigue, and
weakness of the shoulders and upper arms.
Rationale 3: “Silent” or unrecognized heart attack occurs more frequently
in women than men.
Rationale 4: Weakness of the legs and back does not precede a heart
attack.
Rationale 5: The mortality rate of young women having an MI is twice that
of men.
A patient with chronic kidney disease is diagnosed with hypertension. The nurse
realizes that this patient's blood pressure needs to be controlled because
It is the easiest diagnosis to treat.
Not doing so increases the risk of adverse effects on the kidneys.
Medications are available to treat this disorder.
Everyone should have low-normal blood pressure.
, Give this one a try later!
Not doing so increases the risk of adverse effects on the kidneys.
Rationale: Management of hypertension to maintain blood pressure within
normal limits the risk of adverse effects on the kidneys.
Rationale 2: Hypertension is not always easily diagnosed.
Rationale 3: Just because medications are available to treat the disorder is
not a rationale for why blood pressure should be controlled.
Rationale 4: The idea of everyone having low-normal blood pressure does
not apply to this patient because of the new diagnosis and history of
chronic kidney disease.
Sinus bradycardia (rate 56 beats per minute) is identified in a sleeping patient on
telemetry. What is the priority nursing action?
Awaken the patient and see how the heart rate responds.
Call the physician and report this dysrhythmia.
Check the medication administration record and see if there is a PRN medication that
will improve this rhythm.
Call for an immediate 12-lead electrocardiogram (ECG).
Give this one a try later!
Awaken the patient and see how the heart rate responds.
Rationale: The priority is to awaken the patient to determine how the heart
rate is affected with activity as it normally should increase. The patient
should be evaluated to determine how the dysrhythmia is affecting heart
function. Many patients who are asymptomatic while in sinus bradycardia
can be observed and require no further intervention. Common reasons for
sinus bradycardia for the nurse to consider include athletic conditioning,
sleep, or a conduction disorder.
should the nurse identify as being the goal of treatment for this patient?
Achieving maximum independence
Returning to work as soon as possible
Lifestyle changes
Maintaining renal function
Give this one a try later!
Maintaining renal function
Rationale: Management of all types of glomerulonephritis—acute and
chronic, primary and secondary—focuses on identifying the underlying
disease process and preserving kidney function. In most glomerular
disorders, there is no specific treatment to achieve a cure. Treatment goals
are to maintain renal function, prevent complications and support the
healing process.
,During an office visit, a 55-year-old female patient asks why she has not been
prescribed a daily dose of aspirin when her 56-year-old husband has been. What
should the nurse explain is the most likely reason for this?
Aspirin is not recommended for women.
This must have been an oversight.
She has other medications that could interfere.
The benefit of aspirin in women under age 65 is not clear.
Give this one a try later!
The benefit of aspirin in women under age 65 is not clear.
Rationale: In women, the benefit of low-dose aspirin in reducing the risk for
coronary heart disease is not clear prior to 65 years of age.
Rationale 2: Aspirin is recommended for women over the age of 65.
Rationale 3: This was not an oversight.
Rationale 4: There is not enough information to determine whether the
patient has other medications that could interfere with aspirin.
A nurse is preparing a presentation on coronary heart disease (CHD) for a community
women's club. Which statements should the nurse include in the presentation? (Select
all that apply)
Women are more likely to have an unrecognized myocardial infarction.
Weakness of the legs and back often precede a heart attack.
The mortality rate of young women having an MI is 50 % lower than that of men.
The epigastric pain and nausea experienced with a heart attack are often attributed to
,heartburn.
Common symptoms of myocardial infarction (MI) include shortness of breath and
fatigue.
Give this one a try later!
The epigastric pain and nausea experienced with a heart attack are often
attributed to heartburn.
Common symptoms of myocardial infarction (MI) include shortness of
breath and fatigue.
Women are more likely to have an unrecognized myocardial infarction.
Rationale: Common symptoms of MI in women include epigastric pain or
nausea, which is blamed on heartburn, shortness of breath, fatigue, and
weakness of the shoulders and upper arms.
Rationale 2: Common symptoms of MI in women include epigastric pain or
nausea, which is blamed on heartburn, shortness of breath, fatigue, and
weakness of the shoulders and upper arms.
Rationale 3: “Silent” or unrecognized heart attack occurs more frequently
in women than men.
Rationale 4: Weakness of the legs and back does not precede a heart
attack.
Rationale 5: The mortality rate of young women having an MI is twice that
of men.
A patient with chronic kidney disease is diagnosed with hypertension. The nurse
realizes that this patient's blood pressure needs to be controlled because
It is the easiest diagnosis to treat.
Not doing so increases the risk of adverse effects on the kidneys.
Medications are available to treat this disorder.
Everyone should have low-normal blood pressure.
, Give this one a try later!
Not doing so increases the risk of adverse effects on the kidneys.
Rationale: Management of hypertension to maintain blood pressure within
normal limits the risk of adverse effects on the kidneys.
Rationale 2: Hypertension is not always easily diagnosed.
Rationale 3: Just because medications are available to treat the disorder is
not a rationale for why blood pressure should be controlled.
Rationale 4: The idea of everyone having low-normal blood pressure does
not apply to this patient because of the new diagnosis and history of
chronic kidney disease.
Sinus bradycardia (rate 56 beats per minute) is identified in a sleeping patient on
telemetry. What is the priority nursing action?
Awaken the patient and see how the heart rate responds.
Call the physician and report this dysrhythmia.
Check the medication administration record and see if there is a PRN medication that
will improve this rhythm.
Call for an immediate 12-lead electrocardiogram (ECG).
Give this one a try later!
Awaken the patient and see how the heart rate responds.
Rationale: The priority is to awaken the patient to determine how the heart
rate is affected with activity as it normally should increase. The patient
should be evaluated to determine how the dysrhythmia is affecting heart
function. Many patients who are asymptomatic while in sinus bradycardia
can be observed and require no further intervention. Common reasons for
sinus bradycardia for the nurse to consider include athletic conditioning,
sleep, or a conduction disorder.
