lOMoARcPSD|3013804
Chapter 62 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 62: Concepts of Care for Patients with Kidney Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses a client with polycystic kidney disease (PKD). Which assessment finding
would alert the nurse to immediately contact the primary health care provider?
a.
Flank pain
b.
Periorbital edema
c.
Bloody and cloudy urine
d.
Enlarged abdomen
ANS: B
Periorbital edema would not be a finding related to PKD and would be investigated further.
Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge
and displace other organs. Urine can be bloody or cloudy as a result of cyst rupture or
infection.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Polycystic kidney disease, Assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse is caring for a client who has chronic pyelonephritis. What assessment finding
would the nurse expect?
a.
Fever
b.
Flank pain
c.
Hypertension GRADESLAB.COM
d.
Nausea and vomiting
ANS: C
The client who has chronic pyelonephritis has renal damage and therefore has hypertension.
The other assessment findings commonly occur in clients with acute pyelonephritis.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Renal disease, Chronic pyelonephritis
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy,
the nurse assesses the client’s understanding. Which statement made by the client indicates a
correct understanding of the teaching?
a.
“I will take a laxative every night before going to bed.”
b.
“I must increase my intake of dietary fiber and fluids.”
c.
“I shall only use salt when I am cooking my own food.”
d.
“I’ll eat white bread to minimize gastrointestinal gas.”
ANS: B
Clients with PKD often have constipation, which can be managed with increased fiber,
exercise, and drinking plenty of water. Laxatives would be used cautiously. Clients with PKD
would be on a restricted salt diet, which includes not cooking with salt. White bread has a
low-fiber count and would not be included in a high-fiber diet.
Chapter 62 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 62: Concepts of Care for Patients with Kidney Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses a client with polycystic kidney disease (PKD). Which assessment finding
would alert the nurse to immediately contact the primary health care provider?
a.
Flank pain
b.
Periorbital edema
c.
Bloody and cloudy urine
d.
Enlarged abdomen
ANS: B
Periorbital edema would not be a finding related to PKD and would be investigated further.
Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge
and displace other organs. Urine can be bloody or cloudy as a result of cyst rupture or
infection.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Polycystic kidney disease, Assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse is caring for a client who has chronic pyelonephritis. What assessment finding
would the nurse expect?
a.
Fever
b.
Flank pain
c.
Hypertension GRADESLAB.COM
d.
Nausea and vomiting
ANS: C
The client who has chronic pyelonephritis has renal damage and therefore has hypertension.
The other assessment findings commonly occur in clients with acute pyelonephritis.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Renal disease, Chronic pyelonephritis
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy,
the nurse assesses the client’s understanding. Which statement made by the client indicates a
correct understanding of the teaching?
a.
“I will take a laxative every night before going to bed.”
b.
“I must increase my intake of dietary fiber and fluids.”
c.
“I shall only use salt when I am cooking my own food.”
d.
“I’ll eat white bread to minimize gastrointestinal gas.”
ANS: B
Clients with PKD often have constipation, which can be managed with increased fiber,
exercise, and drinking plenty of water. Laxatives would be used cautiously. Clients with PKD
would be on a restricted salt diet, which includes not cooking with salt. White bread has a
low-fiber count and would not be included in a high-fiber diet.
