Chapter 54 Renal Dysfunction: Nursing Management

Chapter 54  Renal Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse, caring for a client diagnosed with pyelonephritis, realizes that common risk factors for the development of this disorder include all of the following EXCEPT:
1.
urinary retention.
2.
urinary calculi.
3.
prostate gland hypertrophy.
4.
orthostatic hypotension.

ANS: 4
One of the causes of pyelonephritis is urinary retention. Causes of urinary retention are prostate gland hypertrophy, masses, urinary calculi, or ureteral obstruction. Orthostatic hypotension does not cause pyelonephritis.

PTS: 1 DIF: Analyze REF: Pyelonephritis: Etiology

2. A client is diagnosed with autosomal dominant polycystic kidney disease. During data collection, which assessment finding would the nurse expect to discover?
1.
Decreasing abdominal girth and proteinuria
2.
Urinary tract infection and hypotension
3.
Pain and hematuria
4.
Irregularly shaped kidney and glucosuria

ANS: 3
Pain and hematuria are common manifestations of autosomal dominant polycystic kidney disease. Other signs may include increasing abdominal girth, proteinuria, urinary tract infection, hypertension, and enlarged, irregularly shaped kidneys.

PTS: 1 DIF: Apply
REF: Polycystic Kidney Disease: Assessment with Clinical Manifestations

3. A client is being prescribed medication to treat polycystic kidney disease. Which of the following medications would be indicated for this client?
1.
Cephalosporin
2.
Antifungal
3.
Antihypertensive
4.
Antiarrhythmic

ANS: 1
Cephalosporins are considered first line antibiotics for management of cysts with polycystic kidney disease. Antifungal, antihypertensives, and antiarrhythmic medications are not used to treat this disorder.

PTS: 1 DIF: Apply
REF: Box 54-1 Antibiotic Therapy for Infected Cysts in Patients with Polycystic Kidney Disease

4. A client is diagnosed with resistant polycystic kidney disease. The medications which may be indicated for this client would be:
1.
penicillin and aminoglycosides.
2.
clindamycin and gentamicin.
3.
metolazone and amiloride.
4.
pyridium and urogesic.

ANS: 2
Clindamycin and gentamicin are lipid-soluble antibiotics used to penetrate the resistant cysts. Penicillin and aminoglycosides are part of the first-line management of polycystic kidney disease. Metolazone and amiloride are diuretics. Pyridium and Urogesic are nonopioid analgesics.

PTS: 1 DIF: Analyze
REF: Box 54-1 Antibiotic Therapy for Infected Cysts in Patients with Polycystic Kidney Disease