A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active. He asks, "What has to happen for me to get off of bed rest?" What is the most accurate statement by the nurse?
The antibiotic protocol is completed.
Potassium levels are normal.
Dialysis starts.
Blood pressure drops to normal levels.
The Correct Answer is D
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary calculi, probably located in the ureter: Ureteral stones may cause flank pain or hematuria, but symptoms like urgency and cloudy urine are more indicative of infection.
B. Cystitis, probably from bacterial contamination: The symptoms of urgency, frequency, suprapubic pain, and dark, cloudy urine strongly suggest bacterial cystitis (UTI).
C. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.
D. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition that is not usually associated with cloudy urine or bacterial contamination.
Correct Answer is B
Explanation
A. Eliminate urinary retention: Urinary antimicrobials do not address retention; this would require medications that promote bladder emptying.
B. Have an antiseptic effect on the urine and the urinary tract: Urinary antimicrobials work by reducing bacterial growth within the urinary tract.
C. Enhance output enough to flush out the infection from the urinary tract: Increased output may help prevent infections, but antimicrobials target bacterial pathogens directly.
D. Reduce pain associated with bladder spasms caused by the infection: Analgesics, not antimicrobials, are used for pain relief.
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