Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
A nurse is planning care for a school-age child who has acute glomerulonephritis.Which of the following interventions should the nurse include?
Correct answer
A
Rationale
The correct answer is A because monitoring blood pressure every 4 hours is crucial in assessing the patient's cardiovascular status and detecting any potential complications in a timely manner. This intervention helps in early identification of hypertension or hypotension, guiding appropriate treatment adjustments. Increasing fluid consumption (B) is generally beneficial but does not address a specific immediate need. Implementing a protein-restricted diet (C) may be necessary for certain conditions but is not a priority in this scenario. Collecting and straining urine for sediment (D) is important for specific renal assessments but does not address the primary concern of monitoring blood pressure.