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Daily #85 · Renal / Urinary · Archive

NCLEX-RN® question of the day

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The question

A 28-year-old woman is admitted with sudden onset of periorbital edema, dark "cola-colored" urine, and decreased urine output over the past two days. Her blood pressure is 158/96 mmHg, and her serum creatinine is 2.1 mg/dL. The urinalysis reveals hematuria, proteinuria, and red blood cell casts. She reports having a sore throat approximately three weeks ago that resolved without treatment. What is the priority nursing intervention for this client?

  1. Place the client on strict bed rest and administer high-dose corticosteroids as ordered.
  2. Encourage increased oral fluid intake to flush the kidneys and reduce hematuria.
  3. Prepare the client for an immediate kidney biopsy to confirm the diagnosis.
  4. Monitor blood pressure closely and restrict dietary sodium and fluid intake.

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