ch 33 Pathophysiology test 3
What is the most common cancer of the kidney?
Renal cell carcinoma
the nurse is performing a history and physical on a client with diabetic nephropathy. Findings include BP 124/80; smokes two packs of cigarettes/day; diet high in saturated fats and sodium. Which intervention can help prevent the progression of the diabetic nephropathy?
Smoking cessation program
Drug-related nephropathies involve functional and/or structural changes to the kidney after exposure to a drug. What does the tolerance to drugs depend on?
State of hydration
A young woman presents with signs and symptoms of urinary tract infection (UTI). The nurse notes that this is the fifth UTI in as many months. What would this information lead the nurse to believe?
There is possible obstruction in the urinary tract.
Prior to undergoing diagnostic testing with contrast, it is recommended that older adult clients have their creatinine level checked. The rationale for this is to ensure the client:
will not undergo an acute kidney injury by decreasing renal blood flow.
A 34-year-old woman presents with an abrupt onset of shaking chills, moderate to high fever, and a constant ache in her lower back. She is also experiencing dysuria, urinary frequency, and a feeling of urgency. Her partner states that she has been very tired the last few days and that she looked like she may have the flu. What is the most likely diagnosis?
Acute pyelonephritis
Acute pyelonephritis is a result of
Bacterial infection
The nurse is caring for a client with recurring urinary tract infections (UTIs). The client asks, "Other than taking antibiotics, what else can I do?" Which response by the nurse is most accurate?
Drink lots of fluids to help relieve the signs/symptoms of UTIs.
Which laboratory findings would the nurse anticipate in a client diagnosed with nephritic syndrome?
Elevated urine protein level (>3.5 g/day) and hypoalbuminemia
The acute care unit has had an increase in Gram-negative septicemia over the last 6 months. Which of the following would the infection care nurse know might require clinical focus of the most common cause of these types of infections?
Knowledge of aseptic technique when inserting urethral catheters
Which of the following clients is at greatest risk for developing a urinary tract infection (UTI)?
Older adult female client admitted with an indwelling Foley catheter that has been in place for 1 month
Which condition/disorder would the nurse see as being likely to cause the most serious long-term problems?
Polycystic kidney disease
The nurse caring for an older adult notes a marked decrease in mental acuity over a 24-hour period. What assessment indicates the most likely cause of this change?
Urine cloudy with strong odor
Knowledge of aseptic technique when inserting urethral catheters
glomerular damage.
A nurse observes that a client's urine is cola colored and considers which factor as a possible reason?
he client's urine contains material from the degradation of red blood cells.
