Exam (elaborations)
NURS 317 Unit 1 questions with correct answers.
- Course
- Institution
NURS 317 Unit 1 questions with correct answers.
[Show more]
Content preview
NURS 317 Unit 1 questions with correct answersAn adult client has been diagnosed with polycystic kidney disease.
Which of the client's following statements demonstrates an accurate
understanding of this diagnosis?
A. I suppose I really should have paid more attention to my blood
pressure.
B. I've always been prone to getting UTIs, and now I know why.
C. I suppose I should be tested to see if my children might inherit this,
D. I had a feeling that I was taking too many medications, and now I
know the damage they can do. Correct Answer-C. I suppose I should be
tested to see if my children might inherit this, (25)
While taking a client history, which of the following assessments lead
the nurse to suspect the client may have polycystic kidney disease?
Select all that apply.
A. Massive proteinuria on dipstick urine specimen
B. Renal colic with flank pain
C, Bright red blood in urine sample
D. Elevated blood pressure of 180/90
E. Shortness of breath with loud rhonchi and wheezes heard on
auscultation. Correct Answer-B. Renal colic with flank pain
C, Bright red blood in urine sample
D. Elevated blood pressure of 180/90 (25)
,Which of the following statements about the use of angiotensin-
converting enzyme inhibitor medications and autosomal recessive
polycystic kidney disease (ARPKD) is accurate?
A. The use of ACE inhibitors will increase vasopressin levels.
B. ACE inhibitors may interrupt the renin-angiotensin-aldosterone
system to reduce renal vasoconstriction
C. The ACE inhibitors have been shown to shrink the size of the cysts
inside the kidneys.
D. ACE inhibitors should be used strictly in those clients who also have
an underlying cardiac history. Correct Answer-B. ACE inhibitors may
interrupt the renin-angiotensin-aldosterone system to reduce renal
vasoconstriction (25)
An infant has been diagnosed with autosomal recessive polycystic
kidney disease (ARPKD). Which of the following treatment goals would
be considered the priority in the care of this child?
A. Rehydration therapy
B. Total parental nutrition
C. Prophylactic antibiotics
D. Respiratory support. Correct Answer-D. Respiratory support. (25)
Glomerulonephritis is usually caused by:
A. Vesicoureteral reflux
B. Catheter-induced infection
C. Antigen-antibody complexes
,D. Glomerular membrane viruses Correct Answer-C. Antigen-antibody
complexes (25)
A client has been given the diagnosis of diffuse glomerulonephritis.
They ask the nurse what diffuse means. The nurse responds:
A. Only some of the glomeruli are affected
B. Only one segment of each glomerulus is involved.
C. That the mesangial cells are being affected
D. All glomeruli and all parts of the glomeruli are involved. Correct
Answer-D. All glomeruli and all parts of the glomeruli are involved.
(25)
A child is recovering from a bout of group A _-hemolytic Streptococcus
infection. They return to the clinic a week later complaining of decrease
in urine output with puffiness and edema noted in the face and hands.
The health care provider suspects the child has developed:
A. Autosomal recessive polycystic kidney disease.
B. Adult-onset medullary cystic disease
C. Acute postinfectious glomerulonephritis
D. Acute nephritic syndrome. Correct Answer-C. Acute postinfectious
glomerulonephritis (25)
Following an episode of strep throat, the school nurse notices the fourth
grade child has not recovered from this illness a week later. Upon further
investigation, the nurse notices that the child has developed water
retention. Which of the following assessments support this conclusion?
Select all that apply.
, A. Periorbital edema
B. BP 100/70
C. Swelling of the hands and feet
D. Vomiting after intake of any solid food
E. Dizziness and right ear pain Correct Answer-A. Periorbital edema
C. Swelling of the hands and feet (25)
Which of the following assessment findings would lead the nurse to
suspect the client has nephrotic syndrome?
A. Hematuria and anemia
B. Proteinuria and generalized edema
C. Renal colic and increased serum sodium
D. Increased creatinine with normal blood urea nitrogen. Correct
Answer-B. Proteinuria and generalized edema (25)
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
C. Liver enlargement
D. Kidneys palpable to deep palpation
E. Increased circumference in the abdomen related to fluid excess.
Correct Answer-A. Moist crackles in both lung fields
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now