A nurse is caring for a client who recently had a streptococ... | ATI Med Surg Exam (IV)

Practice Question

A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?

Answer Choices:

A. Encourage frequent ambulation.

B. Obtain weight weekly

C. Place the client on a low-protein diet. ✓ Correct Answer

D. Encourage increased fluid intake.

Correct Answer:

Place the client on a low-protein diet.

Rationale:

⚫ Post-streptococcal glomerulonephritis impairs renal filtration, leading to azotemia, proteinuria, and fluid retention.

⚫ A low-protein diet helps reduce uremic toxin buildup, relieving the burden on the kidneys.

⚫ Encouraging fluids or ambulation is inappropriate due to oliguria and edema.

⚫ Weekly weights are not sufficient—daily weights are better for tracking fluid status.

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ATI Med Surg Exam (IV)

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Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Answer Choices: 4

NursingSprint

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More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

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ATI Med Surg Exam (IV)

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More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

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ATI Med Surg Exam (IV)

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