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MED SURG 4
Test bank 5
| Question | Answer |
|---|---|
| In providing care to the patient who may have polycystic kidney disease, the nurse recognizes which finding as the first clinical manifestation of this disease process? | Hypertension |
| Which statement by the patient diagnosed with polycystic kidney disease (PKD) indicates the need for further teaching? | “I will have prunes for breakfast each day.” |
| Which statement by the patient diagnosed with pyelonephritis indicates the need for further teaching? | “I will take my entire course of phenazopyridine to treat future UTIs.” |
| Which statement by the patient being discharged after treatment for acute glomerulonephritis indicates the need for further teaching? | “I will increase the protein in my diet to help me heal.” |
| In providing education to a patient diagnosed with renal carcinoma, the patient states, “My doctor says I am a stage I. What does that mean?” Which response by the nurse is best? | “Your cancer is limited to the renal capsule.” |
| Which statement by the patient after radical nephrectomy for renal cancer indicates the need for further teaching? | “I will notify you if my urine is pink tinged.” |
| What grade of renal trauma does the nurse document in the patient experiencing hematuria and contusions, but with normal imaging studies? | Grade 1 |
| What grade of renal trauma does should the nurse document in the patient who has a renal laceration that is greater than 1 cm in depth but does not involve the collecting system? | Grade 3 |
| The nurse correlates which disorder to the development of intrarenal renal failure? | Glomerulonephritis |
| The nurse monitors for which electrocardiogram change as the first indication of hyperkalemia in the patient with acute kidney disease? | Tall T waves |
| The nurse is planning care for the patient with acute kidney injury. Which assessment data best supports the nursing diagnosis Excess Fluid Volume? | Pitting edema in the lower extremities |
| The nurse is caring for a patient admitted with a diagnosis of acute kidney injury. The patient asks the nurse, “Are my kidneys failing? Will I need a kidney transplant?” Which response by the nurse is the most appropriate? | “Your condition can be reversed with prompt treatment and usually will not destroy the kidney.” |
| A patient with a history of hypertension is diagnosed with chronic kidney disease. When the patient asks the nurse how this occurred, which response by the nurse is the best? | “High blood pressure reduces renal blood flow and harms the kidney tissue, causing this diagnosis.” |
| Which nursing diagnosis is the priority in the patient diagnosed with chronic kidney disease? | Risk for Injury—Fractures |
| The nurse monitors for which therapeutic effect in the patient receiving sodium polystyrene sulfonate (Kayexalate) for the treatment of chronic kidney disease? | Decreased serum potassium |
| Which statement by the patient diagnosed with chronic kidney disease who is prescribed furosemide (Lasix) indicates that teaching about this medication was effective? | “This pill will reduce the swelling in my body and get rid of the extra potassium.” |
| A patient with chronic kidney disease is experiencing manifestations of anemia. Based on this data, which treatment does the nurse anticipate for this patient? | Administer erythropoietin (Epoetin) injections. |
| The nurse is caring for a patient who is pale and experiencing fatigue secondary to anemia related to chronic kidney disease. When the patient’s spouse asks why the patient is anemic, what response by the nurse is the best? | . “There is a decreased production by the kidneys of the hormone erythropoietin, which is the cause of anemia.” |
| Which medication prescription for the patient with chronic kidney disease needs to be questioned by the nurse? | Demerol |
| When teaching the patient with chronic kidney disease and hypertension to avoid salt substitute, the nurse bases this instruction on which rationale? | They can potentiate hyperkalemia. |
| When planning meals for the patient with chronic kidney disease, which dietary choices are best for this patient? | Spaghetti and meat sauce, breadsticks |
| During a home visit, the nurse is concerned that an older adult patient is developing chronic kidney disease. Because the patient has no history of cardiovascular disease, what data requires further consideration by the nurse? | Progressive edema |
| The nurse is preparing to discharge a patient with chronic kidney disease. In teaching the patient about calcium acetate tablets, which explanation by the nurse is best? | “The calcium acetate will lower your serum phosphate levels.” |
| In providing an educational inservice to the nursing staff about peritoneal dialysis, which information does the nurse include in this presentation? | “The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis.” |
| The nurse is administering peritoneal dialysis to a patient with acute kidney injury and notes the presence of a cloudy dialysate return. After notifying the healthcare provider, which action by the nurse is best? | Culture the dialysate return |
Created by:
Kristi.bohannon2