HESI Registered Nurse EXIT Practice Exam

For a child hospitalized with acute glomerulonephritis, which nursing action is a priority?

1. Assess for generalized edema

2. Monitor for increased urinary output

3. Encourage rest during hyperactive periods

4. Note patterns of increased blood pressure

The correct answer is: Note patterns of increased blood pressure

In the context of a child hospitalized with acute glomerulonephritis, monitoring for patterns of increased blood pressure is crucial because hypertension can be a direct consequence of the disease process. Acute glomerulonephritis often leads to fluid retention and increased vascular volume, which can elevate blood pressure. Identifying changes in blood pressure early can help in preventing complications such as hypertensive crises or further renal impairment. While assessing for generalized edema, monitoring urinary output, and encouraging rest are important nursing interventions, the priority action in this scenario is tied to the immediate risks associated with hypertension. By focusing on blood pressure patterns, the nurse can initiate timely interventions, such as medication adjustments or fluid management, addressing a potentially life-threatening condition effectively. This priority aligns with the broader goals of safeguarding the patient’s health and preventing any acute complications that can arise from unmanaged hypertension in the context of glomerular disease.