Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective?
The urine dipstick is negative for nitrites.
The patient denies pain or burning with voiding.
The periorbital and peripheral edema are resolved.
The anti-streptolysin-O (ASO) titer has decreased.
The Correct Answer is C
Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.
Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.
Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been effective, as edema is a common symptom of this condition.
Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of effective treatment for glomerulonephritis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An embolic stroke is caused by an embolus traveling to the brain and blocking a blood vessel. The symptoms described do not specifically indicate an embolic stroke.
Choice B reason: A hemorrhagic stroke, which is bleeding within the brain, often presents with a sudden, severe headache, vomiting, and a change in consciousness, aligning with the symptoms described.
Choice C reason: A thrombotic stroke is caused by a thrombus forming in a blood vessel in the brain. While it can cause similar symptoms, the sudden severe headache is more characteristic of a hemorrhagic stroke.
Choice D reason: A transient ischemic attack (TIA) is a temporary blockage of blood flow to the brain. The symptoms usually resolve within minutes to hours and do not typically include a severe headache or vomiting.
Correct Answer is D
Explanation
Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.
Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.
Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.
Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.
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