Question 1

A nurse is reviewing the diagnostic results of renal testing for an 80-year-old patient and notes that the patient's findings include a decreased size of the renal cortex, atherosclerosis of the renal arteries, and hypoosmolality of urine. Which of these explanations would be most appropriate for the nurse to give the patient?

Accepted Answer

These changes are typically seen in the aging process and are not indicative of chronic or acute renal failure or a genetic renal disorder. The decreased size of the renal cortex can occur as a result of age-related atrophy, atherosclerosis of the renal arteries can occur with age and other risk factors, and hypoosmolality of urine is a normal finding in most elderly patients.

Question 2

All of the following diagnostic tests are ordered for a patient with renal disease. The nurse understands that which one of the following will be used in the evaluation of the patient's glomerular filtration rate (GFR)?

Accepted Answer

Creatinine clearance is the most accurate test for assessing the GFR, as it measures the rate at which the kidneys are able to clear creatinine from the bloodstream. BUN is used to assess kidney function indirectly, while IVP and renal ultrasound are used to visualize the kidneys and urinary tract but do not directly assess GFR.

Question 3

Which of these assessments of an 86-year-old patient requires immediate nursing intervention?

Accepted Answer

Reports of urinary incontinence in an elderly patient may indicate an underlying medical condition that requires immediate nursing intervention. It could be a potential sign of urinary tract infection, neurological problems, or other serious conditions. Therefore, it is essential to address the issue promptly to initiate timely treatment and prevent the worsening of the patient's health condition. The other options, urinary frequency, urinary urgency, and nocturia, may also require nursing interventions, but they are not as urgent as urinary incontinence.

Question 4

A nurse is developing a postoperative plan of care for a patient who is scheduled to have a cystogram. Which of these outcomes should receive priority in the plan? The patient will be free from signs and symptoms of which of the following?

Accepted Answer

The answer of A nurse is developing a postoperative plan...

Question 5

A patient states, "I have a family history of both type 1 and type 2 diabetes mellitus. Before I decide to have children, I am going to speak with a healthcare professional who specializes in working with people with health problems that are passed from parent to child." Which of these statements would be the most appropriate for the nurse to record in the patient's medical record? "The patient has a future plan to discuss concerns about familial tendency for diabetes with

Accepted Answer

A genetic counselor is the healthcare professional who specializes in working with people with health problems that are passed from parent to child, making option A the most appropriate choice. Home health nurses, obstetricians, and physical therapists may have knowledge on diabetes management but are not specifically trained in genetic counseling.

Question 6

According to evidence-based practice for patients undergoing stem cell transplants, which NANDA nursing diagnoses would be appropriate?  Select all that apply.

Accepted Answer

Patients undergoing stem cell transplants face significant physical and emotional challenges. Ineffective Coping and Fatigue are common nursing diagnoses for these patients. Interrupted Family Processes is relevant as family support is crucial during the transplant process. Due to the suppression of the immune system, patients are at high risk for Infection. Excess Fluid Imbalance is not typically associated with stem cell transplantation.

Question 7

The nurse is caring for a patient who states, "My urine has a red-tinged appearance." Which of these questions would be the most important for the nurse to ask this patient?

Accepted Answer

The patient's red-tinged urine may be indicative of hematuria, which can have various causes including medication side effects. Therefore, the most important question to ask would be about the patient's current medication use.

Question 8

A patient has been given instruction about adult polycystic kidney disease (APKD). Which of these statements, if made by the patient, would indicate that the patient needs further instruction? Select all that apply.

Accepted Answer

There is currently no cure for adult polycystic kidney disease (APKD), so a statement suggesting that medication can cure the disease indicates a need for further instruction. B, C, D, and E are all correct statements about APKD.

Quiz 26: Assessing the Renal System

All of the following diagnostic tests are ordered for a patient with renal disease. The nurse understands that which one of the following will be used in the evaluation of the patient's glomerular filtration rate (GFR) ?

Which of these assessments of an 86-year-old patient requires immediate nursing intervention?

A nurse is developing a postoperative plan of care for a patient who is scheduled to have a cystogram. Which of these outcomes should receive priority in the plan? The patient will be free from signs and symptoms of which of the following?

According to evidence-based practice for patients undergoing stem cell transplants, which NANDA nursing diagnoses would be appropriate? Select all that apply.

The nurse is caring for a patient who states, "My urine has a red-tinged appearance." Which of these questions would be the most important for the nurse to ask this patient?

A patient has been given instruction about adult polycystic kidney disease (APKD) . Which of these statements, if made by the patient, would indicate that the patient needs further instruction? Select all that apply.