HESI Registered Nurse EXIT Practice Exam

When planning care for a child with glomerulonephritis, which factor is essential for monitoring?

1. Fluid intake

2. Weight loss

3. Patterns of increased blood pressure

4. Dietary changes

The correct answer is: Patterns of increased blood pressure

Monitoring patterns of increased blood pressure in a child with glomerulonephritis is essential because hypertension is a common complication associated with this condition. Glomerulonephritis can lead to fluid retention and an increase in vascular volume due to kidney dysfunction. As a result, blood pressure can rise significantly, which may increase the risk of cardiovascular issues or end-organ damage if not properly managed. By regularly assessing blood pressure, healthcare providers can detect any significant changes early and intervene as necessary to prevent complications. While factors like fluid intake, weight loss, and dietary changes are also important considerations in the overall management of glomerulonephritis, they do not have the same immediate implications for acute care and potential complications as monitoring blood pressure. Keeping close tabs on blood pressure allows for timely adjustments in treatment plans, making it a critical focus in the care of these patients.