Porth Patho CH 25

A nurse is caring for a child with Wilms tumor, stage I. Which of the following can be said regarding this diagnosis? Select all that apply.

Prognosis is good with treatment. The tumor is limited to the kidney and can be excised with the capsular surface intact.

Which of the following substances would not be found in glomerular filtrate?

Protein

A nurse is caring for a patient who has been diagnosed with kidney colic and has not yet passed the stone. Which of the following interventions should the nurse be sure to include when planning the care for this patient?

Strain the urine

The nurse on a geriatric unit is assessing four clients. Which client is most likely to exhibit pyuria and high counts of urine colony-forming units?

A client who has urinary catheter in place due to confusion

Which of the following best describes nephronophthisis-medullary cystic kidney disease?

Cysts are restricted to the corticomedullary border.

Manifestations of polycystic kidney disease include which of the following?

Increase in kidney size bilaterally

A nurse advises a client with recurring UTIs to drink large amounts of water. What normal protective action is the nurse telling the client to utilize?

Increase washout of urine

A patient had been diagnosed with a simple cyst of the kidney and is presenting with symptoms. Which does the nurse anticipates the patient will display? Select all that apply.

Hematuria Hypertension Infection

A pediatric unit will be receiving an eight day-old infant with a suspected congenital renal disorder. Which of the following renal abnormalities could be the possible cause? Select all that apply.

One of the infant's kidneys may have failed to develop normally. The upper or lower poles of the two kidneys may be fused. The kidneys may be misshapen and have cysts present.

The nurse working in the nursery is caring for a 4-day-old infant with autosomal recessive polycystic kidney disease (ARPKD). Which physical assessment findings would the nurse associate with this disease process? Select all that apply.

Palpable masses located in the flank area bilaterally Hypoventilation due to impaired lung development Severe hypertension 120/90

The nurse reviews the lab results for a patient who has advanced autosomal dominant polycystic kidney disease (ADPKD). The patient 's hemoglobin is 8.8 g/dL. The nurse suspects this lab value is related to which of the following causes?

Reduced production of erythropoietin

Which of the following is the most common cancer of the kidney?

Renal cell carcinoma

Which of the following are appropriate interventions in the care of a patient diagnosed with renal calculi? Select all that apply.

Straining the client's urine Addressing the client's pain Keeping track of intake and output

A patient who developed acute pyelonephritis asks the nurse what caused the infection. Which should be included in thenurse's response? Select all that apply.

Acute pyelonephritis is caused by bacterial infection. Escherichia coli is the causative agent in about 80% of cases. Outflow obstruction, catheterization, and urinary instrumentation.

The form of polycystic kidney disease (PKD) that first manifests in the early infant period is most commonly characterized as which of the following?

Autosomal recessive

A nurse is administering medications to a patient with a kidney stone. Which medication does the nurse administer that will lower urinary calcium by increasing tubular reabsorption to decrease the amount of calcium in the urine?

Hydrochlorothiazide (HCTZ)

A nurse is giving discharge instructions for a patient who was diagnosed with acute pyelonephritis 3 days previously. Which of the following is important for the nurse to discuss when instructing the patient?

It is important that the patient take the prescribed antibiotic for the duration of the prescription.

Which statements are true regarding a Wilms tumor? Select all that apply.

It is the most common childhood malignant tumor. It presents with an abdominal mass Treatment includes chemotherapy, radiation and surgery

A patient diagnosed with Goodpasture's syndrome would require which of the therapies to remove proteins and autoantibodies from the system?

Plasmapheresis

A cytotechnologist is performing genetic testing on a series of tissues. One tissue comes back with the WT1 mutation, and it's mapped to chromosome 11. What disease will the client most likely develop?

Wilms tumour

The family asks the nurse what the usual treatment of focal segmental glomerulosclerosis entails. The nurse responds:

corticosteroids.

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 diagnosis is the most likely?

Acute pyelonephritis