Medical Surgical Glomerulonephritis and Nephrosis #4

Question

During the medical interview of a pediatric client admitted for glomerulonephritis, the nurse determines the parents did not take the child to her provider for treatment of fever and a sore throat. Which action by the nurse to the parents is most appropriate?

Answers

  1. Educate the parents about the importance of seeking treatment for possible infections of the throat to prevent worsening complications that affect the kidney.
    • Rationale:

      This answer is correct because appropriate antibiotic treatment is necessary to destroy a streptococcal infection. By not obtaining adequate treatment for a sore throat, the body creates extra antibodies to fight off the infection which settles in the glomeruli causing glomerulonephritis. Antibiotic therapy in this case can prevent major complications that could lead to loss of kidney function.

  2. Contact social services due to the nursing diagnosis of “risk of impaired parenting”.
    • Rationale:

      This answer is not correct because involving social services is not the most appropriate intervention in the case of parents who are without knowledge of infection complications. A suitable remedy for the uninformed parent is to provide education on the nature of the illness.

  3. Monitor the client for additional complications such as renal failure and hypertensive encephalopathy.
    • Rationale:

      This answer is not correct because it does not solve the problem of the parents being uninformed about the possible cause of the child’s illness. The nurse, however, will monitor for renal failure and hypertensive encephalopathy due to retention of fluid that glomerulonephritis causes.

  4. Instruct the parents on the signs of infection and to keep their child away from other children who may be sick.
    • Rationale:

      This answer is not correct because glomerulonephritis is not associated with acquired immunodeficiency in children. This would be an intervention for a child with nephrotic syndrome since it greatly weakens the immune system.

Overview

Glomerulonephritis is inflammation of the glomeruli produced by an infection elsewhere in the body. Prompt treatment of infections is important to prevent the extra antibodies created to fight that infection to settle in the glomeruli and cause damaging inflammation, especially with sore throats, respiratory infections, and skin infections.

Explanation

Learning Outcomes

Glomerulonephritis is inflammation of the glomeruli produced by an infection elsewhere in the body. Prompt treatment of infections is important to prevent the extra antibodies created to fight that infection to settle in the glomeruli and cause damaging inflammation, especially with sore throats, respiratory infections and skin infections. Appropriate antibiotic therapy is necessary to destroy infections caused by bacteria. By not obtaining treatment for an infection, the body creates extra antibodies to destroy the bacteria and these extra antibodies settle in the glomeruli. This is called an antigen-antibody reaction. This can result in inflammation of the glomeruli which can ultimately lead to renal failure. Educating the parents on manageable antibiotic therapy for infections as a means to prevent more serious complications, the nurse is preempting future serious complications.

Test Taking Tip

Never underestimate the power of providing education to clients and their caretakers. It could very well avert a serious medical problem.

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