Quiz #11 Renal-2
a pt with acute glomerulonephritis is required to provide a 240hour urine specimen. what does the nurse expect to see when looking at the specimen? a. smoky or cola-colored urine b. clear and very dilute urine c. urine that is fun of pus and very thick d. bright orange-colored urine
a
for a pt with PKD, which antihypertensive medication may be used because it helps control the cell growth aspects of PKD and reduce microalbuminuria? a. angiotensin-converting enzyme inhibitors b. beta blockers c. calcium channel blockers d. vasodilators
a
which data set indicates that the pt with diabetes is achieving the goals of care to prevent the development of microalbuminuria and delay the progression to end-stage kidney disease? a. A1C <7%, BP is 125/75 mm Hg, LDL cholesterol is 90 mg/dL b. A1C >7%, BP is 140/80 mm Hg, LDL cholesterol is 200 mg/dL c. A1C <7%, BP is 130/80 mm Hg,with proteinuria 2.0 g/24hours d. A1C >7%, BP is 120/70 mm Hg, LDL cholesterol is 300 mg/dL
A
The nurse I reviewing lab results for a pt with PKD. which lab abnormality indicates glomeruli involvement? a. low specific gravity of urine b. bacteria in urine c. proteinuria d. hematuria
c
a 22-year-old pt comes to the clinic for a wellness check-up. Hx reveals that the pt's parents has the autosomal-dominant form of polycystic kidney disease (PKD). Which vital sign suggests that the pt should be evaluated for PKD? a. Pulse of 90 beats/min b. temperature of 99.6 F c. Blood pressure of 136/88 mmHg d. Respiratory rate of 22/min
C
the nurse is reviewing arterial blood gas results of a pt with acute glomerulonephritis. the pH of the sample is 7.35. As acidosis is likely to be present because of the hydrogen ion retention and loss of bicarbonate, how does the nurse interpret this data? a. normal pH with respiratory compensation b. acidosis with failure of respiratory compensation c. alkalosis with failure of respiratory compensation d. normal pH with metabolic compensation
a
the nurse is reviewing the lab results for a pt with chronic glomerulonephritis. the serum albumin level is low. what else does the nurse expect to see? a. proteinuria b. elevated hematocrit c. high specific gravity d. low white blood cell count
a
the off-going nurse is giving shift report to the oncoming nurse about the care of a pt who has nepohrostomy tube placed 3 days ago and it is to remain in place until the urinary obstruction is resolved. what is the most important point to clearly communicate about the urine drainage? a. urine is draining only into the collection bag, not the bladder, therefore the minimum expected drainage is 30mL/hour b. for the first 24 hours postoperatively, the amount of urinary drainage was assessed every hour c. the surgeon placed ureteral tubes so al the urine may pass through the blaster or all the urine might go directly into the collection bag d. the nephrostomy site has not been leaking any blood or urine and you should continue to monitor the site for leakage
a
which clinical manifestation in a pt with an instruction in the urinary system is associated specifically with a hydronephrosis? a. flank asymmetry b. chills and fever c. urge incontinence d. decreased urine volume
a
which pt has the greatest risk of developing a kidney abscess? a. pt is diagnosed with acute pyelonephritis b. pt had flank asymmetry related to hydronephrosis c. pt developed a urinary tract infection secondary to urinary catheter d. pt is diagnosed with hypertension and nephrosclerosis
a
you are the admitting nurse for a pt with nephrotic syndrome. which assessment finding supports this diagnosis? a. edema formation b. hypotension c. increased urine output d. flank pain
a
You are teaching a pt how best to prevent renal trauma after an injury that required a left nephrectomy. which points would you include in your teaching plan? select all that apply a. always wear a seat belt b. avoid all contact sports c. practice safe walking habits d. wear protective clothing to participate in contact sports e. use cation when riding a bicycle
abce
which diagnostic test and results does the nurse expect to see with acute glomerulonephritis? select all that apply. a. UA revealing hematuria b. UA revealing proteinuria c. Microscopic red blood cell casts d. serum albumin levels increased e. serum potassium decreased
abc
a pt is brought to the ED after being involved I a fight in which the pt was kicked and punched repeatedly in the back. what does the nurse include in the initial physical assessment? select all that apply. a. take complete vital signs b. check apical and peripheral pulses c. inspect both flanks for asymmetry or penetrating injuries of the lower chest or back d. inspect the abdomen for bruising or penetrating wounds e. deeply palpate the abdomen for signs of rigidity f. inspect the urethra for gross bleeding
abcdf
the nurse is assessing a pt who reports chills, high fever, and flank pain with urinary urgency and frequency. on physical examination, the pt has costovertebral angle (CVA) tenderness, pulse is 110 beats/min, and respirations are 28/min. how does the nurse interpret this findings a. complicated cystitis b. acute pyelonephritis c. chronic pyelonephritis d. acute glomerulonephritis
b
the nurse is assessing a pt with possible acute glomerulonephritis. during the inspection of the hands, face, and eyelids, what is the nurse primarily observing for? a. redness b. edema c. rashes d. dryness
b
the nurse is caring for a postoperative nephrectomy pt. the nurse notes during the first several hours of the shift a marked and steady downward trend in blood pressure. how does the nurse interpret this finding? a. hypertension had been corrected. b. internal hemorrhage is possible c. the other kidney is failing d. this is an expected response to medication
b
which pt hx factor is considered causative for acute glomerulonephritis? a. urinary incontinence 6 months ago b. strep throat 3 weeks ago c. kidney stones 2 years ago d. mild hypertension diagnosed 1 year ago
b
what might the nurse notice if the pt is experiencing problems with urinary elimination as result of acute pyelonephritis? Select all that apply. a. pt urinates large amounts of dilute urine b. pt reports pain and burning on urination c. pt reports back or flank pain d. urine is cloudy and foul-smelling e. urine may be darker or smoky or have obvious blood in it.
bcde
The nurse is caring for a pt with nephrotic syndrome. what interventions are included in the plan of care for this pt? select all that apply. a. fluids should be restricted b. administer mild diuretics c. assess for edema d. administer antihypertensive medication e. frequently assess the pt's mental status
bcd
a pt with PKD would exhibit which s/s? Select all that apply. a. frequent urination b. increased abdominal girth c. hypertension d. kidney stones e. diarrhea
bcd
a pt had been informed by the HCP that treatment will be needed for renal artery stenosis. the nurse prepares to teach about a variety of treatment options. what treatments will the nurse include in the teaching plan? a. kidney transplant b. hypertension control c. ballon angioplasty d. renal artery bypass surgery e. synthetic blood vessel graft f. percutaneous ultrasonic pyelolithotomy
bcde
which description of the autosomal-dominant form of PKD is correct? a. 25% of its with this form of PKD develop acute kidney failure by the age 30 b. the dominant form is responsive to newer gene therapy treatment c. 50% of people with this form of PKD develop kidney disease by the age 50 d. Most people with this form of PKD die in the young childhood
c
which pt has the greatest risk for developing chronic pyelonephritis? a. 80-year-old women who takes diuretics for mild heart failure b. 80-year-old man who drinks four cans of beer per day c. 36-year-old women with diabetes mellitus who is pregnant d. 36-year-old man with diabetes insipidus
c
as a charge nurse, you must rearrange room assignments to admit a new pt. which two pt would be best suited to be roommates? a. 58-year-old with urothelial cancer receiving multi agent chemotherapy b. 63-year-old with kidney stones who has just undergone open ureterolithotomy c. 24-year-old with acute pyelonephritis and severe flank pain d. 76-year-old with urge incontinence and a UTI
cd
which ethnic groups are mostly likely to develop end-stage kidney disease related to hypertension? Select all that apply. a. Caucasian Americans b. Asian Americans c. African Indians d. African Americans e. Hispanic Americans
cd
A pt has a family history of autosomal-dominant form of PKD and has therefore been advised to monitor for and report any symptoms. What is an early symptom of PKD? a. Headache b. Pruritus c. Edema d. Nocturia
d
A pt is very ill and is admitted to the intensive care unit with rapidly progressing glomerulonephritis. the nurse monitors the pt for manifestations of which organ system failure? a. immune system b. cardiovascular system c. neurological system d. renal system
d
what lab values would the nurse interpret for a pt experiencing problems wit urinary elimination as a result of acute pyelonephritis? select all that apply. a. observe complete blood count for election of differentials. b. observe for elevation of BUN and serum creatinine levels c. observe for electrolyte imbalances, such as hypokalemia d. observe arterial blood gases for alkalosis and respiratory compensation e. observe UA for bacteria, leukocyte esterase, nitrate, or red blood cells
abe
A pt reprots straining to pass ver small amounts of urine today, despite a normal fluid intake, and reports having the urge to urinate. the nurse placates the bladder and finds that it is distended. which conditions is mostly likely to be associated with these findings? a. urethral stricture b. hydroureter c. hydronephrosis d. PKD
a
A pt with PKD had nocturne. what does the nurse encourage the pt to do? a. drink at least 2 liters of fluid daily b. restrict fluid in the evening c. drink 1000ml early in the morning d. add a pinch of salt to water in the evenings
a
The nurse is caring for a pt with kidney cell carcinoma. what does the nurse expect to find documented about the pt;s initial assessment? a. flank pain, gross hematuria, palpable, kidney mass, and renal bruit b. gross hematuria, hypertension, diabetes, and oliguria c. dysuria, polyuria, dehydration, and palpable kidney masses d. nocturia and urinary retention with difficult starting stream
a
The nurse is reviewing the lab results of a pt with chronic glomerulonephritis. the phosphorus level of 5.3 mg/dL. what else does the nurse expect to see? a. serum calcium level below the normal range b. serum potassium level below the normal range c. falsely elevated serum sodium level d. elevated serum levels for all other electrolytes
a
Why may a pt with PKD experience constipation? a. polycystic kidneys enlarge and put pressure on the large intestine b. pt becomes dehydrated because the kidneys are dysfunctional c. constipation is a side effect from the medications given to treat PKD d. pt's with PKD have special dietary restrictions that cause constipation
a
a 53-year-old pt is newly diagnosed with renal artery stenosis. what clinical manifestation is the nurse most likely to observe when the pt first seeks health care? a. sudden onset of hypertension b. urinary frequency and dysuria c. nausea and vomiting d. flank pain and hematuria
a
a pt had a nephrostomy and a nephrostomy tube is in place. what is included in the postop care of this pt? a. assess the amount of drainage in the collection bag b. irrigate the time to ensure patency c. keep the pt NPO for 6 to 8 hours d. review the results of the clotting studies
a
a pt has come to the clinic for follow-up of acute pyelonephritis. which action does the nurse reinforce to the pt? a. complete all antibiotics regimens b. report episodes of nocturia c. stop taking the antibiotics when pain is relieved d. avoid taking any over-the-counter drugs
a
a pt has had one kidney removed as a treatment for kidney cancer. the pt's spouse ask, "Does the good kidney take over immediately? I know a person can live with just one kidney." what is the nurse's best response? a. the other kidney will provide adequate function, but this may take days or weeks. b. the other kidney alone isn't able to provide adequate function, so supplemental therapies will be needed c. thats a gapped question. remember to ask your doctor next time he or she comes in d. it caries a lot, but within a few days we expect everything to normalize
a
a pt is admitted for acute glomerulonephritis. in reviewing the pt's past medical hx, which systemic condition does the nurse suspect ma have caused acute glomerulonephritis and will include in the overall plan of care? a. systemic lupus erythematous and diabetic nephropathy b. myocardial infarction and atrial fibrillation c. ischemic stroke and hemiparesis d. blunt trauma to the kidney with hematuria
a
a pt is diagnosed with hydronephrosis. what is a complication that could result from this condition? a. damage to the nephrons b. kidney cancer c. kidney stone d, structural defects
a
a pt is newly diagnosed with type 2 diabetes mellitus. which screening recommendation does the nurse give to the pt regarding the early detection of diabetic kidney disease? a. urine should be tested annually for protein and mircoalbuminuria b. blood urea nitrogen and serum creatinine should tested within 5 years c. urine should be tested within 5 years for protein and microalbuminuria d. urine should be tested annually for protein, glucose, and blood
a
a pt with PKD usually experiences constipation. what does the nurse recommend? a. increased dietary fiber and increased fluids b. decreased dietary fiber and laxatives c. daily laxatives and increased exercise d. tap-water enemas and fiber supplements
a
as charge nurse, you would assign the nursing care of which pt to an LPN, working under the supervision of an RN? a. 48-year-old with cystitis who is taking oral antibiotics b. 64-year-old with kidney stones who has a new order for lithotripsy c. 72-year-old with urinary incontinence who needs bladder training d. 52-year-old with pyelonephritis who has severe acute flank pain
a
the health care team is using a collaborative and interdisciplinary approach to design a treatment plan for a pt with PKD. what is the top priority? A. Controlling hypertension b. preventing rupture cysts c. providing genetic counseling d. identifying community resources
a
the nurse is caring for a pt with a nephrostomy. the nurse notifies the health care provider about which assessment findings? a. urine drainage is red-tinged 4 hours post surgery b. amount of drainage decreased and the pt has back pain c. there is a small steady drainage for the first 4 hours postsurgery d. the nephrostomy site looks dry and intact
a
The nurse is developing a teaching plan for a pt with PKD. Which topics does the nurse include? Select all that apply. a. teach how to measure and record blood pressure b. assist to develop a schedule for self-administering drugs c. Instruct to take and record weight twice a month d. explains the potential side effects of the drug e. review high-protein, low-fat diet plan
abd
The nurse is interviewing a pt with suspected PKD. What questions does the nurse ask the pt? Select all that apply. a. is there any family history of PKD or kidney disease? b. Do you have a hx of sexually transmitted disease? c. have you had any constipation or abdominal discomfort? d. hace you noticed a change in urine color or frequency? e. hace you had any problems with headaches? f. is there a family history of sudden death from a myocardial infarction?
acde
kidney tissue change in chronic glomerulonephritis are caused by which factors? select all that apply. a. ischemia b. fluid overload c. hypertension d. obstruction e. infection
ace
A pt with PKD reports sharp flank pain followed by blood in the urine. how does the nurse interpret these S/S? a. infection b. ruptured cysts c. increased kidney size d. ruptures renal artery aneurysm
b
After a nephrectomy, one adrenal gland remains. based on this knowledge, which type of medication replacement therapy does the nurse expect if the remaining adrenal gland function is insufficient? a. potassium b. steroid c. calcium d. estrogen
b
An older adult male pt reports an acute problem with urine retention. the nurse advises the pt to seek medical attention because permanent kidney damage can occur in what time frame? a. in less than 6 hours b. in less than 48 hours c. within several weeks d. within several years
b
The nurse is reviewing the lab results for a pt being evaluated for trouble with passing urine. the UA shows tubular epithelial cells on microscopic examination. how does the nurse interpret this finding? a. the obstruction is resolving b. the obstruction is prolonged c. glomerular filtration rate is reduced d. glomerular filtration rate is adequate
b
The nurse is reviewing the pt's hx, assessment findings, and lab results for a pt with suspected kidney problems. which manifestations is the main feature of nephrotic syndrome? a. flank asymmetry b. proteinuria greater than 3.5 g of protein in 24 hours c. serum sodium 148 mmol/L d. serum cholesterol (total) 190 mg/dL
b
The student nurse is assisting in the postoperative care of a pt who had a recent nephrectomy. the student demonstrate a reluctance to move the pt to change the linens because "the pt seems so tired." the nurse reminds the student that a priority assessment for this pt is to assess for which factor? a. skin breakdown on the pt's back b. blood on the linens beneath the pt c. urinary incontinence and moisture d. the pt's ability to move self in bed
b
Which factor/manifestation is primary associated with acute pyelnophritis? a. obstruction caused by hydroureter b. active bacterial infection c. decreased urine specific gravity d. alcohol abuse
b
a pt had chronic glomerulonephritis. in order assess for uremic symptoms, what does the nurse do? a. evaluate the blood urea nitrogen (BUN) b. ask the pt to extend the arms and hyperextend the wrists c. gently palate the flank for asymmetry and tenderness d. auscultate for the presence of an S3 heart sound
b
a pt has late-stage chronic glomerulonephritis. which educational bronchus would be the most appropriate to prepare for the pt? a. how to take your antiinfective medication b. important points to know about dialysis c. what are the side effects of radiation therapy? d. precautions to take during immunosuppressive therapy
b
a pt is diagnosed with chronic glomerulonephritis. the pt's spouse reports that the pt is irritable, forgetful and has trouble concentrating. which assessment finding does the nurse expect on further examination? a. increased respiratory rate b. elevated blood urea nitrogen c. high white count with a left shift d. low blood pressure and bradycardia
b
a pt os diagnosed with kidney cancer and the HCP recommends the best therapy. which treatment does the nurse anticipate teaching the pt about? a. chemotherapy b. surgical removal c. hormonal therapy d. radiation therapy
b
a pt with diabetic nephropathy reports having frequent hypoglycemic episodes "so my doctor reduced my insulin, which means my diabetes is improving." what is the nurse's best response? a. congratulations! you must be following the diet and lifestyle instruction very carefully b. when kidney function is reduced, the insulin is available for a longer time and thus less of it is needed c. you should probably talk to your doctor again. you have been diagnosed with nephropathy and that changes the situation d. let me get you a brochure about the relationship of diabetes and kidney disease. it is a complex and hard to understand.
b
after the nurse instructs a pt with PKD on home care, the pt knows to contact health care provider immediately when what s/s occurs? a. urine is a clear, pale, yellow color b. weight has increased by 3 pounds in 2 days c. two day shave passed since the last bowel movement d. morning systolic blood pressure has decreased by 5 mmHg
b
in PKD, the effect on the renin-angiotensin system in the kidney has which result? a. adrenal insufficient b. increased blood pressure c. increased urine output d. oliguria
b
what are the key features associated with chronic pyelonephritis? Select all that apply. a. abscess formation b. hypertension. c. inability to conserve sodium d. decreased urine-concentration ability, resulting in nocturia e. tendency to develop hyperkalemia and acidosis
bcde
the nurse is caring for a pt with kidney cell carcinoma who manifests paraneoplastic syndromes. what findings does the nurse expect to see in this pt? select all that apply. a. urinary tract infection b. erythrocytosis c. hypercalcemia d. liver dysfunction e. decreased sedimentation rate f. hypertension
bcdf
A pt is suspected for having PKD. which diagnostic study has minimal risks and can be reveal PKD? a. kidneys-ureters-bladder (KUB) x-ray b. urography c. renal sonography d. renal angiography
c
A pt with PKD reports a sever headache and is at risk for a berry aneurysm. What is the nurse's priority action? a.assess the pain and give a pro pain medication b. reassure the pt that this is an expected aspect of the disease c. assess for neurologic changes and check vital signs d. monitor for hematuria and decreased urinary output
c
A pt with a hx of PKD reports dull, aching flank pain and the UA is negative for infection. the HCP tells the nurse that the pain is chronic and related to enlarging kidneys compressing abdominal contents. what nursing intervention is best for this pt? a. administer trimethoprim/sulfamethoxazole (Bactrim) b. apply cool compress to the abdomen or flank c. Teach methods of relaxation such as deep-breathing d. administer around the clock NSAIDs
c
An older adult male pt calls the clinic because he has "not passed any urine all day long". what is the nurse's best response? a. try drinking several large glasses of water and waiting a few more hours b. if you develop flank pain or fever, then you should probably come in c. You could have an obstruction, so you should come in to be checked out d. I am sorry, but I really can't comment about your problems over the phone
c
The ED nurse is preparing a pt with kidney trauma for emergency surgery. what is the best task to delegate to the UAP? A. set the automated blood pressure machine to cycle every 2 hours b. inform the family about surgery and assist them to the surgery waiting area c. go to the blood bank and pick up the units of packed red cells d. insert a urinary catheter if there is no gross bleeding at the urethra
c
The HCP advises the pt that diagnostic testing is needed to identify the possible presence of renal abscess. which test does the nurse prepare the pt for? a.renal arteriography b. cystourethrogram c. radionuclide renal scan d. urodynamic flow studies
c
The nurse is assessing a pt with glomerulonephritis and notes crackles in the lung fields and neck vein distention. the pt reports mild SOB. based on these findings, what does the nurse do next? a. check for CVA tenderness or flank pain b. obtain a urine sample to check for proteinuria c. assess for additional signs of fluids overload d. alert the HCP about the respiratory symptoms
c
Which description of the recessive form of PKD is correct? a. prognosis is better for the recessive form compared to the dominant form b. 100% of people with this form of PKD develop kidney failure around age 50 c. Most people with this form of PKD die in early childhood d. The recessive form only manifests fi other kidney problems occur
c
You are supervising a nurse on orientation to the unit who is discharging a pt admitted with kidney stones who underwent lithotripsy. which statement by the nurse to the pt requires that you intervene? a. you should finish all your antibiotics to make sure that you don't get a UTI b. remember to drink at least 3 L of fluids every day to prevent another stone from forming c. report any signs of bruising to your physician immediately, since this indicated bleeding d. you can return to work in 2 days to 6 weeks, depending on what your physician prescribes
c
a pt has sustained a kidney injury. in order to assist the pt to undergo the best diagnostic test to determine the extend of injury, what does the nurse do? a. obtain a clean-catch urine specimen for urinalysis b. give an IV fluid bolus before renal arteriography c. give an explanation computer tomography d. obtain a blood sample for hemoglobin and hematocrit
c
a pt is diagnosed with acute pyelonephritis. what is the priority for nursing care for this pt? a. providing information about the disease process b. controlling hypertension c. managing pain d. preventing constipation
c
a pt is diagnosed with interstitial nephritis. which nursing action is relevant and specific for this pt's medical condition? a. avoid analgesic use b. use disposable gloves c. monitor for fever d. place the pt in isolation
c
a pt is newly admitted with nephrotic syndrome and has proteinuria, edema, hyperlipidemia, and hypertension. what is the priority for nursing care? a. consult the dietitian to provide adequate nutritional intake b. prevent urinary tract infection c. monitor fluid volume and the pt's hydration status d. prepare the pt for renal biopsy
c
a pt returning to the unit after a left radical nephrectomy for kidney cell carcinoma reports having some soreness on the right side. what does the nurse tell the pt? a. the right kidney was repositioned to take over the function of both kidneys b. ill call your doctor for an order to increase your pain medications c. the soreness is likely to be from being positioned on your right side during surgery d. would you like to talk with someone who had this surgery last year and now is fully recovered
c
a pt with PKD reports nocturne. what is the nocturne caused by? a. increased fluid intake in the evening b. increased hypertension c. decreased urine-concentrating ability d. detrusor irritability
c
a pt with chronic pyelnophritis returns to the clinic for follow-up. which behaviors indicates the pt is meeting the expected outcomes to conserve existing kidney function? a. drinks a liter of fluid every day b. considers buying a home blood pressure cuff c. reports taking antibiotics as prescribed d. takes pain medication on a regular basis
c
after a nephrectomy, a pt has a large urine output because of adrenal insufficiency. what does the nurse anticipate the priority intervention for this pt will be? a. ACE inhibitor to control the hypertension and decreased protein loss in urine b. straight catheterization or bedside bladder scan to measure residual urine c. IV fluid replacement because of subsequent hypotension and oliguria d. IV infusion of temsirolimus (torisel), to inhibit cell division
c
the nurse is caring for a pt after a nephrectomy. the nurse notes the urine flow was 50 mL/hr at the beginning of the shift, but several ours later has dropped to 30 mL/ what would the nurse do first? a. notify the HCP for an order for an IV fluid bolus b. document the finding and continue to monitor for downward trend c. check the drainage system for kicks or obstructions to flow d. obtain the pt's weight and compare it to baseline
c
what changes in diabetic therapy may be needed for a pt who has diabetic nephropathy? a. fluid restriction b. decreased activity level c. decreased insulin dosages d. increased caloric intake
c
The HCP tells the nurse that the pt with PKD has salt wasting. which intervention is the nurse likely to use related to nutrition therapy? a. talk to the pt about seasoning that are alternative for salt b. help the pt select lunch tray with low-sodium items c. obtain an order for fluid restrictions to prevent loss of sodium during urination d. advise that a low-sodium diet is not currently necessary
d
What is the common problem of hydronephrosis, hydroureter, and urethral stricture in kidney function? a. Dilute urine b. tubular cell damage c. dehydration e. obstruction
d
Which pain management strategy does the nurse teach a to who has pain from infected kidney cysts if PKD? a. take nothing by mouth b. increase the does of NSAIDs c. assume a high-flower position d. apply dry heat to the abdomen or flank
d
a nurse is caring for a pt with glomerulonephritis. what should the nurse instruct the pt to do to prevent recurrent attacks? a. take showers instead of tub baths b. continue the same restrictions on fluid intake c. avoid situations that involve physical activity d. seek early treatment for respiratory tract infections
d
a pt diagnosed with renal cel carcinoma that has metastasized to the lungs is considered to be in which stage of cancer? a. I b. II c. III d. IV
d
a pt with acute glomerulonephritis had edema of the face, the blood pressure is moderately elevate and the pt has gained 2 pounds within the past 24 hours. the pt reports fatigue and refuses to eat. what is the priority for nursing care? a. cluster care to allow rest periods for pt b. obtain a dietary consult to plan an adequate nutritional diet c. monitor urine output with accurate intake and output amounts d. assess for s/s of fluid volume overload
d
for a pt with acute glomerulonephritis, a 24-hour urine test was initiated and the glomerular filtration rate (GFR) results are pending. what are the clinical implications of the test results? a. GFR is normal; the therapy can be discontinued b. GFR is high; the pt is at risk for dehydration c. GRF is low; the pt is at risk for infection d. GFR is low; the pt is at risk for fluid overload
d
the nurse is caring for a patient who had a nephrectomy yesterday. the manage the pt's pain, what is the best plain for analgesic therapy? a. limit narcotics because of respiratory depression b. give an oral analgesic when the pt can eat c. alternate parenteral and oral medications d. give parenteral medications on a schedule
d
the nurse is taking history in a pt with chronic glomerulonephritis. what is the pt mostly likely to report? a. hx of antibiotic allergy b. intense flank pain c. poor appetite and weight loss d. occasional edema and fatigue
d
the nursing diagnosis of constipation related to compression of the intestinal tract has been identified in a pt with polycystic kidney disease. which nursing care action should you delegate to a newly-trained LPN? a. instruction the pt about foods that are high in fiber b. teaching the pt about foods that assist in promoting bowel regularity c. assessing the pt for previous bowel problems and bowel routine d. administering decussate sodium (Colace) 100 mg by mouth twice a day
d
which nursing intervention is applicable for a pt with acute glomerulonephritis? a. restricting visitors who have infections b. assessing the incision site c. inspecting the vascular access d. measuring weight daily
d
