Glomerular Diseases Overview
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Questions and Answers

What is a common manifestation of acute glomerulonephritis?

  • Hematuria (correct)
  • Hypercalcemia
  • Bradycardia
  • Hypothermia
  • What is one of the main goals in the nursing management of patients with acute glomerulonephritis?

  • Increase protein intake
  • Maintain fluid balance (correct)
  • Decrease corticosteroid use
  • Initiate dialysis immediately
  • Which factor is NOT a cause of chronic glomerulonephritis?

  • Recurrent acute nephritic syndrome
  • Hypertensive nephrosclerosis
  • Chronic tubulointerstitial injury
  • Diabetes insipidus (correct)
  • What laboratory finding is expected in a patient with chronic glomerulonephritis?

    <p>Hypoalbuminemia</p> Signup and view all the answers

    Which treatment is inappropriate for managing acute glomerulonephritis?

    <p>Increased sodium intake</p> Signup and view all the answers

    Which of the following describes the nature of chronic glomerulonephritis?

    <p>Generally asymptomatic for years</p> Signup and view all the answers

    Which of the following is a crucial aspect of self-care education for patients with chronic glomerulonephritis?

    <p>Monitoring fluid intake</p> Signup and view all the answers

    During assessment of a patient with chronic glomerulonephritis, which condition should the nurse closely monitor?

    <p>Cardiac status</p> Signup and view all the answers

    What defines the progression of acute glomerulonephritis?

    <p>May progress to end-stage renal failure</p> Signup and view all the answers

    Which of the following is an expected finding in a patient with acute glomerulonephritis?

    <p>Proteinuria</p> Signup and view all the answers

    Study Notes

    ### Glomerular Diseases

    • Inflammation of the glomerular capillaries can lead to various glomerular diseases.
    • Acute glomerulonephritis (AGN) has various forms including postinfectious, rapidly progressive, membrane proliferative, and membranous glomerulonephritis.
    • IgA nephropathy, Lupus nephritis, and Diabetic neuropathy are also types of glomerular diseases.
    • AGN can manifest with hematuria, edema, azotemia, proteinuria, decreased GFR, and hypertension.
    • AGN can range from mild to severe, potentially leading to end-stage renal failure.
    • Treatment for AGN includes supportive care, dietary modifications, antibiotics, corticosteroids, and antihypertensives when appropriate.
    • Nursing management involves patient assessment, fluid balance maintenance, dietary restrictions, patient education, and follow-up care.
    • Chronic glomerulonephritis can result from repeated acute nephritic episodes, hypertension, hyperlipidemia, chronic tubulointerstitial injury, or glomerular sclerosis.
    • Some patients with chronic glomerulonephritis remain asymptomatic for years. As glomerular damage progresses, chronic kidney disease signs and symptoms emerge.
    • Abnormal laboratory test results in chronic glomerulonephritis include fixed urine specific gravity, casts, proteinuria, electrolyte imbalances, decreased GFR, and hypoalbuminemia.
    • Medical management of chronic glomerulonephritis depends on the symptoms.
    • Nursing management for chronic glomerulonephritis involves assessment of potential fluid and electrolyte imbalances, cardiac and neurologic status. Emotional support and teaching self-care are crucial.

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    Description

    This quiz covers various aspects of glomerular diseases, including acute glomerulonephritis and its different forms such as IgA nephropathy and lupus nephritis. Learn about the symptoms, treatment options, and nursing management strategies. Understand the potential progression to chronic conditions and end-stage renal failure.

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