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 C
Explanation
Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.
Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.
Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.
Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.
Correct Answer is A
Explanation
Choice A reason: Stopping the transfusion immediately is the first and most critical action in response to signs of a possible transfusion reaction, which can be life-threatening.
Choice B reason: While informing the provider is a necessary step, it should come after stopping the transfusion to prevent further harm to the patient.
Choice C reason: Calling the lab is an appropriate action but not the first priority. The immediate concern is the patient's safety.
Choice D reason: Obtaining a urine specimen may be part of the diagnostic process for a transfusion reaction, but it is not the first action to take.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
