A nurse is caring for a client who has chronic glomerulonephritis

Blood enters your kidneys through your renal arteries. Your kidneys remove excess fluid and waste material from your blood through units called nephrons. Each nephron contains a filter glomerulus that has a network of tiny blood vessels called capillaries. The glomeruli filter waste products and substances your body needs — such as sodium, phosphorus and potassium — which then pass through tiny tubules. The substances your body needs are reabsorbed into your bloodstream.

The waste products flow through the ureters — the tubes that lead to the bladder. Glomerulonephritis gloe-mer-u-low-nuh-FRY-tis is inflammation of the tiny filters in your kidneys glomeruli. Glomeruli remove excess fluid, electrolytes and waste from your bloodstream and pass them into your urine. Glomerulonephritis can come on suddenly acute or gradually chronic.

Glomerulonephritis occurs on its own or as part of another disease, such as lupus or diabetes. Severe or prolonged inflammation associated with glomerulonephritis can damage your kidneys. Treatment depends on the type of glomerulonephritis you have. Signs and symptoms of glomerulonephritis depend on whether you have the acute or chronic form and the cause.

Your first indication that something is wrong might come from symptoms or from the results of a routine urinalysis. Many conditions can cause glomerulonephritis. Sometimes the disease runs in families and sometimes the cause is unknown. Conditions that can lead to inflammation of the kidneys' glomeruli include:.

4 Acute Glomerulonephritis Nursing Care Plans

Post-streptococcal glomerulonephritis. Glomerulonephritis may develop a week or two after recovery from a strep throat infection or, rarely, a skin infection impetigo. To fight the infection, your body produces extra antibodies that can eventually settle in the glomeruli, causing inflammation. Children are more likely to develop post-streptococcal glomerulonephritis than are adults, and they're also more likely to recover quickly.

Infrequently, chronic glomerulonephritis runs in families. One inherited form, Alport syndrome, also might impair hearing or vision. In addition to the causes listed above, glomerulonephritis is associated with certain cancers, such as multiple myeloma, lung cancer and chronic lymphocytic leukemia.

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Glomerulonephritis can damage your kidneys so that they lose their filtering ability. As a result, dangerous levels of fluid, electrolytes and waste build up in your body. There may be no way to prevent most forms of glomerulonephritis.

However, here are some steps that might be beneficial:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.A client with acute kidney injury has a serum potassium level of 6.

Check the sodium level. Place the client on a cardiac monitor. Encourage increased vegetables in the diet. Allow an extra mL of fluid intake to dilute the electrolyte concentration. A client arrives at the emergency department with complaints of low abdominal pain and hematuria.

The client is afebrile. Renal cancer in the client's family. A client is admitted to the emergency department following a motor vehicle accident.

a nurse is caring for a client who has chronic glomerulonephritis

The client was wearing a lap seat belt when the accident occurred and now the client has hematuria and lower abdominal pain. To assess further whether the pain is caused by bladder trauma, the nurse should ask the client if the pain is referred to which area?

Costovertebral angle. A client is admitted to the emergency department following a fall from a horse and the health care provider HCP prescribes insertion of a Foley catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus.

The nurse should take which action?

The Care of Chronic Kidney Disease at Lurie Children's

Notify the HCP. Use a small-sized catheter. Administer pain medication before inserting the catheter. Use extra povidone-iodine solution in cleansing the meatus. The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis. Which finding indicates that the fistula is patent? Capillary refill less than 3 seconds in the nail beds of the fingers on the left hand. A male client has a tentative diagnosis of urethritis.

The nurse should assess the client for which manifestation of the disorder? Dysuria and penile discharge. The nurse is assessing a client with epididymitis. The nurse anticipates which findings on physical examination?

Diarrhea, groin pain, testicular torsion, and scrotal edema. A client complains of fever, perineal pain, and urinary urgency, frequency, and dysuria. To assess whether the client's problem is related to bacterial prostatitis, the nurse reviews the results of the prostate examination for which characteristic of this disorder?

Tender, indurated prostate gland that is warm to the touch. The nurse is collecting data from a client who has a history of benign prostatic hyperplasia.

Decreased force in the stream of urine. The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. Which actions should the nurse take?

Select all that apply. Check the level of the drainage bag. Reposition the client to his or her side. Contact the health care provider HCP. Place the client in good body alignment.As a nurse providing care to a patient with acute glomerulonephritis, it is important to know the signs and symptoms, pathophysiology, nursing management, patient education, and treatment.

NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results. A 5 year old male is admitted with acute glomerulonephritis. On assessment, you note mild edema predominately in the face and tea-colored urine. The patient weighs 30 lbs. A patient who is experiencing poststreptococcal glomerulonephritis has edema mainly in the face and around the eyes.

As the nurse, you know to expect the edema to be more prominent during the? Which of the following are NOT a sign and symptom of acute glomerulonephritis poststreptococcal? Within the past month, the admission rate of patients with poststreptococcal glomerulonephritis has doubled on your unit.

You are proving an in-service to your colleagues about this condition. You can also take more fun nursing quizzes. This quiz is copyright RegisteredNurseRn.

Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. In your nursing care plan, what nursing interventions will you include in this patient's plan of care?

Initiate and maintain a high sodium diet daily. Monitor intake and output hourly. Encourage patient to ambulate every 2 hours while awake. Assess color of urine after every void. Weigh patient every daily on a standing scale. Encourage the patient to consume 4 L of fluid per day. Calcium-rich foods B. Potassium-rich foods C. Purine -rich foods D. None of the above because the patient's urinary output is normal based on the patient's weight. Evening B. Afternoon C. Morning D.

A 3 year old male who has a positive ASO titer. A 5 year old male who is recovering from an appendectomy. An 18 year old male who is diagnosed with HIV.Find Flashcards.

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Criminal Justice. Political Science. Religion and Bible.During a kidney biopsy, your doctor uses a needle to remove a small sample of kidney tissue for lab testing. The biopsy needle is inserted through your skin and is often directed using the guidance of an imaging device, such as ultrasound.

a nurse is caring for a client who has chronic glomerulonephritis

Glomerulonephritis often comes to light when a routine urinalysis is abnormal. Tests to assess your kidney function and make a diagnosis of glomerulonephritis include:. Some cases of acute glomerulonephritis, especially those that follow a strep infection, might improve on their own and require no treatment. If there's an underlying cause, such as high blood pressure, an infection or an autoimmune disease, treatment will be directed to the underlying cause.

For acute glomerulonephritis and acute kidney failure, dialysis can help remove excess fluid and control high blood pressure. The only long-term therapies for end-stage kidney disease are kidney dialysis and kidney transplant.

When a transplant isn't possible, often because of poor general health, dialysis is the only option. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Living with a chronic illness can tax your emotional resources. If you have chronic glomerulonephritis or chronic kidney failure, you might benefit from joining a support group.

A support group can provide both sympathetic listening and useful information. To find a support group, ask your doctor for a recommendation or contact the National Kidney Foundation to find the chapter nearest you. You'll likely start by seeing your primary care doctor. If lab tests reveal you have kidney damage, you might be referred to a doctor who specializes in kidney problems nephrologist. To get ready for your appointment, ask if there's anything you need to do ahead of time, such as limit what you eat and drink.

Then make a list of:. Take a family member or friend along, if possible, to help you remember the information you're given. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.Abby just had a throat infection. After she was deemed to have recovered from the illness, Abby started going to school again.

Abby also went down with fever that night. The next day, she was brought to the pediatric clinic and was discovered to have acute glomerulonephritis. Hippocrates originally described the natural history of acute glomerulonephritis GNwriting of back pain and hematuria followed by oliguria or anuria.

Richard Bright described acute GN clinically inwhich led to the eponymic designation Bright disease. With the development of the microscope, Theodor Langhans was later able to describe the pathophysiologic glomerular changes.

The causal factors that underlie acute GN can be broadly divided into infectious and noninfectious groups. There are a lot of renal syndromes that may mimic the symptoms of acute GN, so accurate assessment and diagnosis is essential. Treatment of acute glomerulonephritis AGN is mainly supportive, because there is no specific therapy for renal disease. The goals of pharmacotherapy are to reduce morbidity, to prevent complications, and to eradicate the infection.

All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. No time limit for this exam. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. Be sure to grab a pen and paper to write down your answers. When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover?

Scabies B. Impetigo C. Herpes simplex D. Fluid intake and urine output should relate in which way? Fluid intake should be double the urine output. Fluid intake should be approximately equal to the urine output. Fluid intake should be half the urine output. Fluid intake should be inversely proportional to the urine output. Which finding typically is the earliest sign of improvement?

Increased urine output B. Increased appetite C. Increased energy level D. Decreased diarrhea.Acute Glomerulonephritis AGN is a medical condition which involves the kidney, particularly, the glomeruli. This requires immediate medical and nursing interventions to retard the progress of scarring within the kidney.

This scarring is somewhat irreversible which later causes renal failure. This disease affects 0. This is common among boys aged years of age. In the Philippines, this is one of the most common pediatric cases among tertiary facilities, or equivalent to 1 in every 17 children.

It may also arise from other types of infection somewhere in the body which causes lodging of microorganism in the kidney via general circulation. The presence of microorganisms in the kidney then stimulates antigen-antibody reaction locally in the kidney. This later causes scarring and gumerular filtration insufficiency and other illnesses like hypertension.

The most common manifesting signs of AGN include hypertension, scanty urine oliguriaedema of the face and extremities, blood in the urine hematuriaprotein in the urine proteinuriaand fatigue. The progress of AGN is very rapid, requiring aggressive medical and nursing management. The primary goal of management focuses on controlling of hypertension through antihypertensive drugsdiuretics, and antibiotics if the infection is still present.

a nurse is caring for a client who has chronic glomerulonephritis

Other managements include restrictions to fluid, sodium, and potassium if oliguria is still present or progressing. Another to be restricted is the dietary protein intake in the presence of oliguria and elevated BUN. Save my name, email, and website in this browser for the next time I comment. Sign in. Log into your account. Privacy Policy. Password recovery. Tuesday, July 14, About Work for Us! Contact Privacy Policy Disclaimer. Forgot your password? Get help. Home Nursing Care Plan.

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