Which finding for a patient admitted with glomerulonephritis ...

[bclement10]

Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective?
 
  a. The patient denies pain with voiding.
  b. The urine dipstick is negative for nitrites.
  c. The antistreptolysin-O (ASO) titer is decreased.
  d. The periorbital and peripheral edema is resolved.

Question 2

The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with
 
  a. antibiotics.
  b. antifungals.
  c. anticoagulants.
  d. antihypertensives.

[brbarasa]

Answer to Question 1

ANS: D
Because edema is a common clinical manifestation of glomerulonephritis, resolution of the edema indicates that the prescribed therapies have been effective. Nitrites will be negative and the patient will not experience dysuria because the patient does not have a urinary tract infection. Antibodies to streptococcus will persist after a streptococcal infection.

Answer to Question 2

ANS: C
Flank pain in a patient with nephrotic syndrome suggests a renal vein thrombosis, and anticoagulation is needed. Antibiotics are used to treat a patient with flank pain caused by pyelonephritis. Fungal pyelonephritis is uncommon and is treated with antifungals. Antihypertensives are used if the patient has high blood pressure.