Ch 25 Disorders of Renal Function
An obese, male client with a history of gout and a sedentary lifestyle has been advised by his primary care provider to avoid organ meats, certain fish, and other foods that are high in purines. The care provider is demonstrating an awareness of the client's susceptibility to which of the following types of kidney stones?
uric acid stones
Which of the following client clinical manifestations most clearly suggests a need for diagnostic testing to rule out renal cell carcinoma?
hematuria
If a client with a kidney stone has the "classic" ureteral colic, the client will describe his pain as: Select all that apply.
A) Acute, intermittent C) Excruciating D) In the flank and upper outer quadrant of the abdomen
Following the diagnosis of nephrotic syndrome, the nurse knows the clinical manifestations occur as a result of a decreased plasma colloidal osmotic pressure. Therefore, the nurse should assess the client for: Select all that apply.
A) Moist crackles in both lung fields B) Areas of diminished breath sounds due to pleural effusions E) Increased circumference in the abdomen related to fluid excess
The physician suspects that a client with kidney stones has developed magnesium ammonium phosphate (struvite) stones based on which urinalysis results? Select all that apply
Alkaline urine pH High urine phosphate level High bacterial count
A client has been given the diagnosis of diffuse glomerulonephritis. They ask the nurse what diffuse means. The nurse responds:
All glomeruli and all parts of the glomeruli are involved.
a 43 year old woman has recently been diagnosed with systemic lupus erythematosus (SLE) glomerulonephritis. She has presented to the out-client department to have a renal biopsy. Knowing the usual treatment options the nurse should anticipate educating the client (who has a positive biopsy result) on which of the following medications being prescribed? Select all that apply. A)Lasix, a diuretic B)Prednisone, a corticosteroid C)Captopril, and ACE inhibitor D)Ampicillin, an antibiotic
B)Prendisone, a corticosteroid C)Captopril, and ACE inhibitor
A client with a history of chronic pyelonephritis has been admitted several times with recurrent bacterial infection of the urinary tract. The nurse should anticipate educating this client with regard to which common treatment regimen?
Continue taking antibiotics for full 10 to 14 days even if symptoms of infection disappear.
A client has recently undergone successful extracorporeal shock wave lithotripsy (ESWL) for the treatment of renal calculi. Which of the following measures should the client integrate into his lifestyle to reduce the risk of recurrence?
Increased fluid intake and dietary changes
Which of the following assessment findings would lead the nurse to suspect the client has nephrotic syndrome?
Proteinuria and generalized edema The nephrotic syndrome is characterized by massive proteinuria and lipiduria, along with an associated hypoalbuminemia, generalized edema, and hyperlipidemia.
An elderly female client has been hospitalized for the treatment of acute pyelonephritis. Which of the following characteristics of the client is most likely implicated in the etiology of her current health problem? The client:
Recently had a urinary tract infection
An infant has been diagnosed with autosomal recessive polycystic kidney disease (ARPKD). Which of the following treatments is the priority in the care of this child?
Respiratory Support
The most damaging effects of urinary obstruction are the result unrelieved obstruction of urine outflow and:
Urinary Stasis
1. Glomerulonephritis is usually caused by vesicoureteral reflux catheter-induced infection antigen-antibody complexes glomerular membrane viruses
antigen-antibody complexes
A young child has been diagnosed with Wilms tumor after his mother discovered an unusual mass, prompting a diagnostic workup. Which of the following characteristics is typical of Wilms tumor? The tumor is usually
encapsulated
