Med Surg Sixty Seven

plasmapheresis

Removal and filtering of the plasma to eliminate antibodies

nephrectomy

Removal of the kidney

nephrotic syndrome

A condition of increased glomerular permeability that allows larger molecules to pass through the membrane into the urine and then be excreted

a, b, d, e

A nurse is developing a plan of care for a client with a diagnosis of nephrotic syndrome whose glomerular filtration rate (GFR) is normal. Which interventions should be appropriate components of the care plan? Select all that apply a. Monitor daily weight. b. Maintain sodium restrictions. c. Maintain a diet low in protein. d. Monitor intake and output (I&O). e. Maintain bed rest when edema is severe.

a, b, c, d

A nurse is performing an assessment on a client with acute kidney injury who is in the oliguric phase. During this phase, the nurse understands that which manifestations are associated findings? Select all that apply. a. Increased serum creatinine level b. A low and fixed specific gravity c. Increased blood urea nitrogen (BUN) level d. Urine osmolarity of approximately 300 mOsm/L e. A urine output of 600 to 800 mL in a 24-hour period

a, b, e

A nurse is reviewing the urinalysis results for a client with glomerulonephritis. Which findings would the nurse expect to note? Select all that apply. a. Proteinuria b. Hematuria c. Positive ketones d. A low specific gravity e. A dark and smoky appearance of the urine

polycystic kidney disease

An inherited disorder in which fluid filled cysts develop in the nephrons

hydronephrosis

The kidney enlarges as urine collects in the renal pelvis and kidney tissue

hydroureter

Enlargement of the ureter

urethral stricture

Obstruction in the lower urinary tract, causing bladder distention

nephroslcerosis

Problem of the thickening in the nephron blood vessels, resulting in narrowing of the vessel lumens

reflux

Reverse or upward flow of urine toward the renal pelvis and kidney

pyelolithotomy

Stone removal from the kidney

b, c, d

The nurse has provided instructions to a client with a urinary tract infection regarding foods and fluids to consume that will acidify the urine. Which fluids should the nurse include in the client's teaching plan that will aid in acidifying the urine? Select all that apply. a. Milk b. Prune juice c. Apricot juice d. Cranberry juice e. Carbonated drinks

c

When assessing a client with diabetic nephropathy, which question about self management should the nurse determine whether the client is currently following best practices to slow the progression of his condition? A. "Have you increased your protein intake to promote healing of the damaged nephrons?" B. "Do you avoid contact sports to reduce the risk for causing trauma to your kidneys?" C. "How do you manage your diet to keep your blood glucose levels in the target range?" D. "Have you increased your fluid intake based on urine output?"

a

When providing care to a client who has undergone a nephrostomy for hydronephrosis, which observation alerts the nurse to a possible complication? A. urine output of 15 mL/hr B. Tenderness at the surgical site C. Blood urea nitrogen of 23 mg/dL D. Pink-tinged urine draining from the nephrostomy

b

Which statement made by the client who is newly diagnosed with polycystic kidney disease (PKD) indicates to the nurse that additional teaching for self-management is needed? A. "I will need to increase my daily water intake" B. "I will restrict my sodium to less than 2 g daily" C. "Now I will need to take a blood pressure drug daily" D. "If I become sexually active or plan to have a family, I will seek genetic counseling