Exam (elaborations)

Renal Saunders Test Questions with Complete Solutions

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Renal Saunders

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Renal Saunders

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Uploaded on August 27, 2024
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renal saunders
renal saunders test questions

Institution Renal Saunders
Course Renal Saunders

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Renal Saunders Test Questions with
Complete Solutions
A nurse is reviewing the client's record and notes that the health care provider has
documented that the client has a renal disorder. On review of the laboratory results, the
nurse would most likely expect to note which of the following?

1. Decreased hemoglobin level

2. Decreased red blood cell (RBC) count

3. Decreased white blood cell (WBC) count

4. Elevated blood urea nitrogen (BUN) level - Answer-4. Elevated blood urea nitrogen
(BUN) level

Rationale:
BUN testing is a frequently used laboratory test to determine renal function. The BUN
level starts to rise when the glomerular filtration rate falls below 40% to 60%. A
decreased hemoglobin and RBC count may be noted if bleeding from the urinary tract
occurs or if erythropoietic function by the kidney is impaired. An increased WBC is most
likely to be noted in renal disease.

After a renal biopsy, the client complains of pain at the biopsy site, which radiates to the
front of the abdomen. Based on this complaint, the nurse further monitors the client for:
1. Bleeding

2. Infection

3. Renal colic

4. Normal, expected pain - Answer-1. Bleeding

Rationale:
If pain originates at the biopsy site and begins to radiate to the flank area and around
the front of the abdomen, bleeding should be suspected. Hypotension, a decreasing
hematocrit, and gross or microscopic hematuria would also indicate bleeding. Signs of
infection would not appear immediately after a biopsy. Pain of this nature is not normal.
There are no data to support the presence of renal colic.

A nurse is monitoring an older client suspected of having a urinary tract infection (UTI)
for signs of the infection. The nurse would be alert to the presence of:

, 1. Fever

2. Urgency

3. Confusion

4. Frequency - Answer-3. Confusion

Rationale:
In an older client, the only symptom of a UTI may be something as vague as increasing
mental confusion or frequent unexplained falls. Frequency and urgency may commonly
occur in an older client, and fever can be associated with a variety of conditions.

A nurse is collecting data on a newly admitted client with a diagnosis of bladder cancer.
While collecting data on this client the nurse would most likely expect to note:

1. Urgency

2. Frequency

3. Hematuria

4. Burning on urination - Answer-3. Hematuria

Rationale:
Gross, painless hematuria is most frequently the first manifestation of bladder cancer.
As the disease progresses, the client may experience burning, frequency, and urgency.

A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of
the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. The
nurse monitors the client for signs of transurethral resection (TUR) syndrome, including:

1. Tachycardia and diarrhea

2. Bradycardia and confusion

3. Increased urinary output and anemia

4. Decreased urinary output and bladder spasms - Answer-2. Bradycardia and
confusion

Rationale:
TUR syndrome is caused by increased absorption of nonelectrolyte irrigating fluid used
during surgery. The client may show signs of cerebral edema and increased intracranial
pressure such as increased blood pressure, bradycardia, confusion, disorientation,
muscle twitching, visual disturbances, and nausea and vomiting.

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