What change indicates recovery in a patient with nephrotic syndrome?
Increase in serum lipid levels.
Decrease in blood pressure to normal.
Gain in body weight.
Disappearance of protein from the urine.
The Correct Answer is D
Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.
Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.
Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.
Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: This patient is likely experiencing hyperosmolar hyperglycemic state (HHS). Rapid administration of IV fluids is crucial to correct severe dehydration associated with HHS.
Choice B rationale: Routine insulin therapy and exercise might be components of diabetes management but wouldn't directly address the immediate concern of severe dehydration and high blood glucose.
Choice C rationale: Cardiac monitoring for potassium changes might be necessary but isn't the primary immediate intervention for HHS.
Choice D rationale: Administering a different antibiotic for the UTI is incorrect, because there is no evidence that the current antibiotic is ineffective or causing adverse effects. The UTI may have triggered the HHS, but it is not the main problem that needs to be addressed urgently.
Correct Answer is A
Explanation
Choice A rationale: Gloves should be worn during direct contact with the client's skin. This is a standard precaution that applies to all clients, but especially to those with infectious diseases that can be transmitted through contact. Secondary syphilis is highly contagious and can be spread through direct contact with the skin lesions or mucous
membranes of an infected person.
Choice B rationale: This is incorrect because secondary syphilis requires more than standard precautions to prevent transmission.
Choice C rationale: This is incorrect because handwashing is a basic component of standard precautions and is not sufficient to prevent the spread of syphilis.
Choice D rationale: This is incorrect because a mask is not necessary for contact precautions, unless the client has respiratory symptoms or is undergoing aerosol- generating procedures.
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