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?
Urinary output of 280 mL during previous 8 hr
Pedal edema
Hematuria
Blood pressure 162/90 mm Hg
The Correct Answer is D
a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
a) Produces miosis of the operative eye: Miosis refers to pupil constriction, and cyclopentolate causes pupil dilation, not constriction.
b) Constricts the pupil of the operative eye: Cyclopentolate causes dilation of the pupil, not constriction.
c) Provides lubrication to the operative eye: Cyclopentolate does not provide lubrication. It is used to dilate the pupil and paralyze accommodation for the surgery.
d) Dilates the pupil of the operative eye: Cyclopentolate works as a mydriatic agent, which dilates the pupil to facilitate the surgery by allowing better visualization of the cataract and the lens.
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