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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Prevent further damage to his kidneys that could lead to renal failure: The primary goal in managing pyelonephritis is to prevent complications such as renal damage or progression to renal failure.

B. Give pain relief with analgesics and antispasmodics: Pain relief is important but secondary to preventing renal damage.

C. Provide adequate nutrition with a stable body weight: Nutrition is important but not the primary goal in acute pyelonephritis.

D. Provide adequate hydration with pulse and blood pressure within patient norms: Hydration is crucial but supports the primary goal of preserving kidney function.

A. Interstitial cystitis (although rare in a male patient) B. Cystitis, probably from bacterial contamination C. Urinary calculi, probably located in the ureter D. Kidney infection, most likely pyelonephritis

Correct Answer is B

Explanation

A. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition typically diagnosed after other causes, like infection, are ruled out.

B. Cystitis, probably from bacterial contamination: Symptoms such as urgency, frequency, suprapubic pain, and cloudy urine strongly suggest a urinary tract infection (UTI), specifically bacterial cystitis.

C. Urinary calculi, probably located in the ureter: While urinary calculi may cause similar symptoms, dark cloudy urine is more indicative of infection than stones.

D. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?

Correct Answer is A

Explanation

A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?

Correct Answer is B

Explanation

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the healthcare provider will order?

Erythropoietin is a hormone produced by the kidney. What will a deficiency of erythropoietin in a patient in chronic renal failure result in?

Which outcome is most necessary for a patient diagnosed with renal calculi?

Ordered: bethanechol chloride (Urecholine) 2.5mg. SC, stat. On hand: bethanechol chloride 5mg/ml. Give ___________ ml. (show all work or no credit)

A nurse is caring for a patient with an atrioventricular (AV) fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula. What action should the nurse implement?

Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

A patient who has cystitis has been told to drink at least 30 mL for each kilogram of body weight. Her weight is 154 lb. How many mL/day should the nurse instruct the patient to drink?