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NCLEX Sample Questions: Glomerulonephritis and Tardive Dyskinesia


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Question 1. A patient with a diagnosis of glomerulonephritis with fluid retention might have which of the following laboratory values?

A. Proteinuria
B. Low specific gravity
C. Low serum creatinine
D. High hemoglobin


Question 2. A client who is taking a phenothiazine medication should be observed for symptoms of tardive dyskinesia, which include

A.  facial tics
B. shuffling gait
C. rolling of eyes
D. paralytic ileus


 

Answers:

1. A.
Rationale: Patients with glomerulonephritis will have a urinalysis that reveals proteinuria and elevated specific gravity.  Blood tests indicate elevated plasma BUN and serum creatinine; hemoglobin and hematocrit may be low related to fluid retention.


2. A.
Rationale: Tardive dyskinesia is an extrapyramidal symptom that manifests as involuntary rhythmic movements of the face, jaw, mouth, and tongue. A shuffling gait is an example of pseudo-parkinsonian effect and rolling of the eyes is a dystonia. Paralytic ileus is not a side effect of phenothiazine medication.


Source: The College Network