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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: Conus medullaris syndrome involves injury or compression to the end portion of the spinal cord and can present with various symptoms but not necessarily lack of normal sympathetic outflow leading to shock.

Choice B rationale: Concussion is a mild traumatic brain injury, and the symptoms described align more with spinal cord injury leading to neurogenic shock.

Choice C rationale: Neurogenic shock occurs due to the loss of sympathetic tone and is characterized by bradycardia, low blood pressure, and vasodilation following spinal cord injury at or above the level of the sixth thoracic vertebra.

Choice D rationale: Diffuse axonal injury typically presents with more widespread brain injury-related symptoms and is not associated with the specific spinal cord-related symptoms described.

A. Increases insulin release from the pancreas, inhibits glucagon secretion, and decreases gastric emptying. B. Reduces glucose production by the liver and enhances insulin sensitivity. C. Slows the absorption of carbohydrate in the small intestine. D. Increases insulin production from the pancreas.

Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

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What change indicates recovery in a patient with nephrotic syndrome?

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Naxlex Comprehensive Predictor Exams

The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?

Correct Answer is C

Explanation

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?

Correct Answer is B

Explanation

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

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The nurse reviews the laboratory reports of a client and concludes that the client has diabetes. Which finding helped the nurse to reach this conclusion?

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