CH.62 CONCEPTS OF CARE FOR PATIENTS WITH KIDNEY
PROBLEMS QUESTIONS WITH DETAILED VERIFIED AND
100% ACCURATE ANSWERS
When taking the health history of a patient with acute
glomerulonephritis (GN), the nurse would question the patient about
which related cause of the problem?
Hypertension
Neoplastic disease
Unexplained weight loss
Recent respiratory infection Correct Answers Recent respiratory
infection
Which assessment finding would the nurse expect for a patient with
chronic pyelonephritis?
Flank pain
Hyperkalemia
Fevers and chills
Nausea and vomiting Correct Answers Hyperkalemia
Which diagnostic test is most important for a patient with
hydronephrosis before a nephrostomy?
Serum creatinine
,Renal echography
Blood urea nitrogen (BUN)
International normalized ratio (INR) Correct Answers International
normalized ratio (INR)
Which assessment finding would the nurse anticipate for a patient with
polycystic kidney disease (PKD)?
Anuria
Hypotension
Pale yellow urine
Increased abdominal girth Correct Answers Increased abdominal girth
Which statement by the nurse indicates understanding of
hydronephrosis?
It is an enlargement of the ureter above the obstruction.
It decreases blood creatinine and blood urea nitrogen levels.
It may occur because of an obstruction caused by kidney stones.
It occurs before bladder distention in patients with urethral stricture.
Correct Answers It may occur because of an obstruction caused by
kidney stones.
,Which laboratory finding suggests the onset of nephrotic syndrome for a
patient with altered kidney function? Select all that apply. One, some, or
all
responses may be correct.
Lipiduria
Severe proteinuria
Decreased coagulation
Increased serum lipid level
Increased serum albumin level Correct Answers Lipiduria
Severe proteinuria
Increased serum lipid level
Which statement by a nurse indicates understanding of the etiology and
genetic risk for polycystic kidney disease (PKD)?
PKD can be prevented by adequate control of hypertension.
PKD can occur in those with no family history of the disease.
Autosomal dominant PKD is rarer than autosomal recessive PKD
Autosomal dominant PKD-1 (ADPKD-1) is less severe than ADPKD-2.
Correct Answers PKD can occur in those with no family history of the
disease.
Which information would the nurse provide to a patient after a renal
echography that indicates hydronephrosis?
, The ureter dilates above the obstruction.
It is caused by an obstruction in the renal pelvis.
The bladder dilates after urethral obstruction.
It is caused by an obstruction in the lower part of the ureter. Correct
Answers It is caused by an obstruction in the renal pelvis.
A 76-year-old patient on prolonged bedrest related to a history of stroke
has an increased risk for development of which condition?
Renal abscess
Acute pyelonephritis
Chronic glomerulonephritis
Chronic pyelonephritis Correct Answers Chronic pyelonephritis
The nurse would educate the parents of a newborn who has an
autosomal recessive polycystic kidney disease (PKD) trait about which
implication of the
trait?
The trait is recessive, so no further treatment will be required.
There is a higher incidence of death in childhood from the disease.
The baby will need to be placed on a waiting list for a kidney transplant.
PROBLEMS QUESTIONS WITH DETAILED VERIFIED AND
100% ACCURATE ANSWERS
When taking the health history of a patient with acute
glomerulonephritis (GN), the nurse would question the patient about
which related cause of the problem?
Hypertension
Neoplastic disease
Unexplained weight loss
Recent respiratory infection Correct Answers Recent respiratory
infection
Which assessment finding would the nurse expect for a patient with
chronic pyelonephritis?
Flank pain
Hyperkalemia
Fevers and chills
Nausea and vomiting Correct Answers Hyperkalemia
Which diagnostic test is most important for a patient with
hydronephrosis before a nephrostomy?
Serum creatinine
,Renal echography
Blood urea nitrogen (BUN)
International normalized ratio (INR) Correct Answers International
normalized ratio (INR)
Which assessment finding would the nurse anticipate for a patient with
polycystic kidney disease (PKD)?
Anuria
Hypotension
Pale yellow urine
Increased abdominal girth Correct Answers Increased abdominal girth
Which statement by the nurse indicates understanding of
hydronephrosis?
It is an enlargement of the ureter above the obstruction.
It decreases blood creatinine and blood urea nitrogen levels.
It may occur because of an obstruction caused by kidney stones.
It occurs before bladder distention in patients with urethral stricture.
Correct Answers It may occur because of an obstruction caused by
kidney stones.
,Which laboratory finding suggests the onset of nephrotic syndrome for a
patient with altered kidney function? Select all that apply. One, some, or
all
responses may be correct.
Lipiduria
Severe proteinuria
Decreased coagulation
Increased serum lipid level
Increased serum albumin level Correct Answers Lipiduria
Severe proteinuria
Increased serum lipid level
Which statement by a nurse indicates understanding of the etiology and
genetic risk for polycystic kidney disease (PKD)?
PKD can be prevented by adequate control of hypertension.
PKD can occur in those with no family history of the disease.
Autosomal dominant PKD is rarer than autosomal recessive PKD
Autosomal dominant PKD-1 (ADPKD-1) is less severe than ADPKD-2.
Correct Answers PKD can occur in those with no family history of the
disease.
Which information would the nurse provide to a patient after a renal
echography that indicates hydronephrosis?
, The ureter dilates above the obstruction.
It is caused by an obstruction in the renal pelvis.
The bladder dilates after urethral obstruction.
It is caused by an obstruction in the lower part of the ureter. Correct
Answers It is caused by an obstruction in the renal pelvis.
A 76-year-old patient on prolonged bedrest related to a history of stroke
has an increased risk for development of which condition?
Renal abscess
Acute pyelonephritis
Chronic glomerulonephritis
Chronic pyelonephritis Correct Answers Chronic pyelonephritis
The nurse would educate the parents of a newborn who has an
autosomal recessive polycystic kidney disease (PKD) trait about which
implication of the
trait?
The trait is recessive, so no further treatment will be required.
There is a higher incidence of death in childhood from the disease.
The baby will need to be placed on a waiting list for a kidney transplant.
