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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Aluminum hydroxide is an antacid that is also used to reduce phosphate levels in people with certain kidney conditions. It binds phosphate in the gut and prevents its absorption, which is beneficial for patients with CKD who often have elevated serum phosphorus levels.
Choice B reason: Aluminum hydroxide does not primarily affect serum calcium levels. It is not prescribed for lowering calcium.
Choice C reason: Aluminum hydroxide does not primarily affect serum magnesium levels. It is not prescribed for lowering magnesium.
Choice D reason: While aluminum hydroxide does not directly lower serum potassium levels, it can be used in conjunction with other treatments for hyperkalemia.
Correct Answer is C
Explanation
Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.
Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.
Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.
Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.
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