Chapter 27 Patients With Renal Disorders

Chapter 27  Patients With Renal Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A nursing educator is speaking with a group of new graduates about a patient who has acute glomerulonephritis. The educator should tell the nurses that the patient may exhibit which of the following clinical manifestations?
A)
Hematuria
B)
Decrease in serum creatinine levels
C)
Hypotension
D)
Glucosuria

2.
The nurse is working on the renal transplant unit. To reduce the risk of infection in a patient with a transplanted kidney, it is imperative for the nurse to do what?
A)
Wash hands carefully and frequently
B)
Ensure immediate function of the donated kidney
C)
Instruct the patient to wear a face mask
D)
Restrict visitors

3.
The nurse is caring for a patient receiving hemodialysis treatments and who has an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
A)
Using a stethoscope for auscultating the fistula is contraindicated.
B)
The patient feels best immediately after the dialysis treatment.
C)
Taking a blood pressure reading on the affected arm can cause clotting of the fistula.
D)
The patient shouldn’t feel pain during initiation of dialysis.

4.
A college football player is brought to the emergency room by paramedics after a blunt trauma injury received during game. There is a high suspicion that the patient has sustained an injury to his kidneys from being tackled from behind. The emergency room nurse caring for the patient reviews the initial orders written by the health care provider and notes that an order has been written to collect all voided urine and send it to the laboratory for analysis. The nurse understands that this nursing intervention is important because:
A)
Hematuria is the most common manifestation of renal trauma, and blood losses may be microscopic, so laboratory analysis is essential.
B)
Intake and output calculations are essential, and the laboratory will calculate the precise urine output produced by this patient.
C)
A creatinine clearance study may be ordered at a later time, and the laboratory will hold all urine until it is determined if the test will be necessary.
D)
There is great concern about electrolyte imbalances, and the laboratory will monitor the urine for sodium concentrations.

5.
A patient admitted with nephrotic syndrome is being cared for on a medical unit. When writing this patient’s care plan, what nursing diagnoses should the nurse prioritize?
A)
Constipation related to immobility
B)
Risk for injury related to altered thought processes
C)
Hyperthermia related to the inflammatory process
D)
Excess fluid volume related to excessive protein losses in the urine

Answer Key

1.
A
2.
A
3.
C
4.
A
5.
D