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