Deck 27: Nursing Care of People With Kidney Disorders

Question 1

The nurse is planning the care of a person with chronic glomerulonephritis. What is an appropriate treatment goal for this person?

A)Returning to work as soon as possible.
B) Encouraging lifestyle changes.
C)Maintaining renal function.
D) Achieving maximum independence.

Answer 1

Maintaining renal function.

Question 2

A person with acute kidney injury (AKI)is prescribed frusemide. This medication will help the individual because it

A)is a thiazide diuretic.
B) will maintain serum sodium levels.
C)will reduce oedema.
D) will preserve plasma proteins.

Answer 2

will reduce oedema.

Question 3

A person who is diagnosed with renal cancer states, 'I only lost a few kilograms! I had no other symptoms!' What is the only consistent symptom of renal cancer?

A)Flank pain.
B) Haematuria.
C) Palpable abdominal mass.
D) Constipation.

Answer 3

Haematuria.

Question 4

A person is diagnosed with postrenal acute kidney injury. The nurse realises that this type of renal failure can be caused by which of the following?

A)Enlarged prostate.
B) Nephrotoxicity.
C)Hypovolaemia.
D) Hypotension.

Question 5

A person is scheduled to have an arteriovenous (AV)fistula placed in the right arm for renal dialysis. Which of the following interventions are appropriate for this person? (Select all that apply.)

A)Always use the left arm for blood pressure readings.
B)The fistula will be used for dialysis immediately after placement.
C)Venipunctures can be performed on the right arm.
D)A functioning fistula has a palpable pulse and bruit on auscultation.

Question 6

Which of the following should be assessed in an elderly person with age-related renal dysfunction?

A)Level of physical activity.
B) Daily food intake.
C)Evidence of medication or drug toxicity.
D) Activity status.

Question 7

A person with chronic kidney disease is trying to decide between haemodialysis and peritoneal dialysis. Which of the following are advantages of peritoneal dialysis for this person? (Select all that apply.)

A)Lower risk of infection.
B)Better self-management.
C)Greater intake of fluids permitted.
D)Better waste product elimination.

Question 8

Which of the following interventions would be appropriate for a person in renal failure with the diagnosis of imbalanced nutrition: less than body requirements?

A)Provide mouth care before meals.
B) Weigh weekly.
C)Schedule meals for three times each day.
D) Provide anti-emetic medication after meals.

Question 9

A person who is recovering from acute renal injury is being discharged. Which of the following should the nurse include in this person's instructions?

A)Instruct to weigh themselves weekly.
B)Avoid alcohol consumption.
C)Limit fluid intake.
D)Use over-the-counter medications as needed.

Question 10

Which of the following interventions would be appropriate for a person with excess fluid volume related to chronic glomerulonephritis?

A)Assess for manifestations of infection.
B) Schedule activities to conserve energy.
C)Document energy level.
D) Daily weights.

Question 11

A person is admitted with signs of chronic kidney disease. Which of the following is indicative of metabolic acidosis?

A)Oliguria.
B) Muscle cramps.
C)Photophobia.
D) Kussmaul's respirations.

Question 12

A person with diabetes and heart disease is diagnosed with chronic kidney disease. The nurse realises that extra care should be taken with this person if prescribing which of the following classifications of medications?

A)Metformin.
B) Calcium channel blockers.
C)Beta-blockers.
D) Paracetamol.

Question 13

A person who received a kidney transplant seven years ago is seen for increasing blood pressure and proteinuria. The nurse realises that this person is demonstrating signs of which condition?

A)Nephrotic syndrome.
B) Acute kidney rejection.
C)Glomerulonephritis.
D) Chronic kidney rejection.

Question 14

An elderly person with decreased renal function is admitted to the hospital with cardiac complications. Which of the following concerns should the nurse have regarding this person's medications?

A)Is the person receiving too much medication because of impaired renal function?
B)What are the costs of the person's medications?
C)What vitamin and mineral supplements is this person taking?
D)Is the person taking the prescribed dosage?

Question 15

A person is diagnosed with hypertension caused by polycystic kidney disease. Which of the following might be helpful to control this person's blood pressure?

A)ACE inhibitors.
B) Digoxin.
C)Haemodialysis.
D) Peritoneal dialysis.

Question 16

Three weeks after being treated for strep throat, a person comes into the clinic with signs of acute glomerulonephritis. Which of the following symptoms will the nurse most likely find upon assessment of this person?

A)Dependent oedema.
B) Excessive thirst.
C)Polyphagia.
D) Polyuria.

Question 17

An elderly person is scheduled for a CT scan with and without contrast dye. Which action should be performed prior to this CT scan?

A)Measure the person's weight.
B) Assess vital signs.
C)Keep the person NBM.
D) Monitor renal functioning.

Question 18

A person with chronic kidney disease is diagnosed with hypertension. Why does the person's blood pressure need to be controlled?

A)There are medications available to treat this disorder.
B)Normal blood pressure should be encouraged.
C)Blood pressure control can slow the decline of kidney function.
D)It is the relatively easy to treat.

Question 19

Which of the following should be included when providing instructions to a person who is post-nephrectomy for kidney cancer?

A)Promotion of vigorous physical activity.
B)Organ donor information.
C)Early recognition of the manifestations of a urinary tract infection (UTI).
D)The need to restrict fluid intake.

Question 20

A person is diagnosed with 45% of normal glomerular filtration. The nurse realises that this person is experiencing which of the following?

A)Renal insufficiency.
B) Acute kidney injury.
C)Chronic kidney disease.
D) Nephrotic syndrome.