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NURS 309 Quiz 11 Acute Renal 2 Questions With Complete Solutions
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NURS 309 Quiz 11 Acute Renal 2 Questions With Complete Solutions
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NURS 309 Quiz 11 Acute Renal 2 Questions With CompleteSolutions
A 22-year-old patient comes to the clinic for a wellness check-
up. History reveals that the patient's parent has the autosomal-
dominant form of polycystic kidney disease (PKD). Which vital
sign suggests that the patient should be evaluated for PKD?
A. Pulse of 95 beats/min
B. Temperature of 100.6
C. Blood pressure of 136/88 mm Hg
D. Respiratory rate of 26/min Correct Answers C. Blood
pressure of 136/88 mm Hg
A 53-year-old patient is newly diagnosed with renal artery
stenosis. Which clinical manifestation is the nurse most likely to
observe when the patient first seeks health care?
A. Sudden onset of hypertension
B. Urinary frequency and dysuria
C. Nausea and vomiting
D. Flank pain and hematuria Correct Answers A. Sudden onset
of hypertension
A nurse is caring for a client with glomerulonephritis. What
should the nurse instruct the client 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 Correct
Answers D. Seek early treatment for respiratory tract infections
,A patient had a nephrostomy and a nephrostomy tube is in place.
What is included in the postoperative care of this patient?
A. Assess the amount of drainage in the collection bag
B. Irrigate the tube until the return drainage is clear
C. Keep the patient NPO for 6 to 8 hours
D. Instruct to sleep with operative side downward Correct
Answers A. Assess the amount of drainage in the collection bag
A patient has a family history of the autosomal-dominant form
of the polycystic kidney disease (PKD) and has been advised to
monitor for and report symptoms. What is an early symptom of
PKD?
A. Headache
B. Pruritus
C. Edema
D. Nocturia Correct Answers D. Nocturia
A patient has chronic glomerulonephritis . In order to assess for
uremic symptoms, what does the nurse do?
A. Evaluate the blood urea nitrogen
B. Ask the patient to extend the arms and hyperextend the wrists
C. Gently palpate the flank for asymmetry and tenderness
D. Auscultate for the presence of an S3 heart sound Correct
Answers B. Ask the patient to extend the arms and hyperextend
the wrists
A patient has come to the clinic for follow up of acute
pyelonephritis. Which action does the nurse reinforce to the
patient?
A. Complete all antibiotic regimens
B. Report episodes of nocturia
,C. Wash hands to prevent spreading infection
D. Avoid taking any over-the-counter drugs Correct Answers
A. Complete all antibiotic regimens
A patient has had one kidney removed as a treatment for kidney
cancer. The patient's spouse asks, "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 isn't able to provide adequate function, so
other therapies are needed"
C. "That's a good question. Remember to ask your doctor next
time he or she comes in"
D. "It varies a lot, but within a few days we expect everything to
normalize" Correct Answers A. "The other kidney will provide
adequate function, but this may take days or weeks"
A patient has late-stage chronic glomerulonephritis. Which
educational brochure would be the most appropriate to prepare
for the patient?
A. "How to Take Your Anti-Infective Medications"
B. "Important Points to Know about Dialysis"
C. "What Are the Side Effects of Radiation Therapy?"
D. "Precautions to Take During Immunosuppressive Therapy"
Correct Answers B. "Important Points to Know about Dialysis"
A patient has renal cell carcinoma that has metastasized to the
lungs. What stage is the cancer?
A. I
B. II
, C. III
D. IV Correct Answers D. IV
A patient is admitted to the medical-surgical unit for acute
pyelonephritis. What is the priority concept to consider in the
immediate nursing care of this patient?
A. Oxygenation
B. Acid-base balance
C. Pain
D. Cellular regulation Correct Answers C. Pain
A patient is brought to the ER because he was in a fight and was
repeatedly kicked and punched in the back. What does the nurse
include in the initial physical assessment? SATA
A. Take complete vital signs
B. Check apical pulse and peripheral pulses
C. Inspect flanks for bruising, asymmetry, or penetrating injuries
D. Inspect abdomen, chest, and lower back for bruising or
penetrating wounds
E. Deeply palpate the abdomen for signs of rigidity
F. Inspect the urethra for gross bleeding Correct Answers A.
Take complete vital signs
B. Check apical pulse and peripheral pulses
C. Inspect flanks for bruising, asymmetry, or penetrating injuries
D. Inspect abdomen, chest, and lower back for bruising or
penetrating wounds
F. Inspect the urethra for gross bleeding
A patient is diagnosed with chronic glomerulonephritis. The
patient's spouse reports that the patient is irritable, forgetful, and
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