A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

a) Has no serious complications: Bacterial pharyngitis, especially streptococcal pharyngitis, can have serious complications, such as rheumatic fever or glomerulonephritis, which are not seen with viral pharyngitis.
b) Presents a negative culture: Bacterial pharyngitis typically presents with a positive throat culture for bacteria, while viral pharyngitis typically shows a negative culture.
c) Has an abrupt onset: Bacterial pharyngitis often has a sudden and severe onset of symptoms, while viral pharyngitis tends to have a more gradual onset.
d) Presents a normal complete blood count (CBC): In bacterial pharyngitis, the CBC may show an elevated white blood cell count, while in viral pharyngitis, the CBC may remain normal or slightly elevated.

a) Sensorineural hearing loss: Stapedectomy is not typically used to treat sensorineural hearing loss, which involves the inner ear or auditory nerve.
b) Otitis media: Stapedectomy is not indicated for otitis media, which is an infection of the middle ear.
c) Meniere disease: Stapedectomy is not used to treat Meniere's disease, a condition characterized by fluid buildup in the inner ear.
d) Otosclerosis: Stapedectomy is performed to treat otosclerosis, a condition where abnormal bone growth around the stapes bone impairs sound conduction.