Chapter 29 Patient Assessment- Renal System

Chapter 29  Patient Assessment- Renal System

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is working with a patient with suspected acute renal failure. Which of the assessments would provide accurate information about this patient’s fluid balance? Select all that apply.
A)
Daily measure of patient’s weight at the same time, using same scale
B)
Monitoring of intake and output every 1 to 2 hours
C)
Monitoring of blood sugar levels hourly
D)
Taking x-rays of the kidneys weekly

2.
A nurse is assessing a patient with acute renal failure for pitting edema. She gently presses her finger into the edematous area on the patient’s foot. She measures an indention of 8 mm, which slowly returns to baseline after about 3 minutes. Which level of pitting edema does this patient exhibit?
A)
4+ (severe)
B)
3+ (moderate)
C)
2+ (mild)
D)
1+ (trace)

3.
A nurse has just received a clean-catch urine sample from the patient and is about to deliver it to the laboratory for analysis. She observes that it is dark yellow, has a cloudy or turbid appearance, and has an ammonia odor. Which of the following does the nurse suspect about the patient’s condition based on her observations? Select all that apply.
A)
The patient is diabetic.
B)
The patient has above-normal creatinine clearance.
C)
The patient is dehydrated.
D)
The patient has proteinuria.
E)
The patient has intrarenal hemorrhaging.
F)
The patient has a renal infection.

4.
On auscultating the patient’s heart, the nurse hears a third heart sound. What condition would this finding be most indicative of?
A)
Renal artery stenosis
B)
A faulty stethoscope
C)
Hypotension
D)
Fluid overload

5.
A nurse is examining a patient on dialysis. Which of the following should she especially look for in this patient?
A)
The presence of a third heart sound
B)
Pitting edema
C)
Inflammation or infection near the access site
D)
Crackles on auscultation of lungs

Answer Key

1.
A, B
2.
A
3.
C, F
4.
D
5.
C