Deck 30: Chronic Kidney Disease and Other Conditions of the Urinary System

Question 1

Treatment of renal calculi may involve all of the following procedures except for:

A) lithotomy
B) lithopaxy
C) nephrectomy
D) lithotripsy

Answer 1

C

Question 2

The main function of the kidneys is:

A) maintenance of the body's internal chemical balance by regulating water content and electrolyte concentrations
B) eliminating body of metabolic waste products
C) remove foreign chemicals from the body
D) All of the above

Answer 2

D

Question 3

Pyelonephritis is:

A) infection of the bladder
B) bacteria in the blood
C) inflammation of the kidney
D) infection of the kidney

Answer 3

D

Question 4

Mr. J has polycystic disease and has recently been told that his condition has progressed to end-stage renal disease (ESRD). As a result, he will need to go on hemodialysis. You have been asked to follow Mr. J's case and help him to assess his vocational status given his diagnosis. As end-stage renal disease progresses and symptoms become more pronounced, you realize that:

A) individuals may need more counseling, but there should be little impact on vocational function
B) the amount of time spent in and the process of hemodialysis is not significant enough to affect vocational function
C) individuals will need to cut down the amount of time spent in dialysis, in order to conserve their energy
D) the impact on vocational function increases due to demands of dialysis and lifestyle changes

Question 5

You have worked with Mr. J while he has been in hemodialysis helping him to adjust work patterns accordingly. Mr. J has recently learned that he is eligible for a kidney transplant. Although this is good news for Mr. J, you also know that the procedure is not without complications. The major complication of kidney transplantation is:

A) paralysis
B) septicemia
C) rejection
D) emphysema

Question 6

Mr. K is a railroad conductor and currently works on a route between two major cities. The route requires him to be on the train for about six hours one way. He then has 24 hours off before repeating the route home, where he generally has the next two days off before repeating the sequence again. He has end-stage renal disease. Although he had been on peritoneal dialysis, he has recently switched to hemodialysis. He continues to have sufficient energy and feel well enough to work. In discussing the impact the change to hemodialysis will have on his current job situation, you would attempt to help Mr. K:

A) secure a desk job since he will be unable to have hemodialysis in his current job
B) identify a dialysis center in both cities on either end of the train route which he could use
C) realize that he can skip dialysis periodically with no untoward effects
D) go immediately on medical disability

Question 7

Mr. K, after six months of hemodialysis, had a kidney transplant. Now he is on immunosuppressant. One of the side effects of immunosuppressant you would be especially aware of when working with Mr. A on his modified rehabilitation plan is:

A) potential for sudden cardiac arrest
B) increased susceptibility to infection
C) inability to work with a kidney transplant
D) potential for the side effect of peritonitis

Question 8

Acute renal failure

A) has sudden onset and can occur within hours or days as a health complication
B) always leads to end-stage renal disease
C) can be easily treated with antibiotics
D) will resolve itself and consequently needs no medical intervention

Question 9

A condition in which bacteria enter the bladder, causing it to become infected and inflamed is:

A) Cystitis
B) kidney stone
C) hydronephrosis
D) nephritis

Question 10

When placing individuals with end-stage renal disease in a work setting, all of the following are criteria to consider except:

A) fatigue may necessitate a shortened workday
B) peripheral neuropathy may make it difficult or impossible to perform tasks such as lifting or to complete tasks requiring manual dexterity
C) impaired judgment, difficulty with memory, or irritability may interfere with adequate job performance
D) temperature extremes are not of importance since this is not an issue with individuals with ESRD

Question 11

Mr. S is a 45-year-old taxi driver who has recently been diagnosed as having chronic renal failure, probably the result of his having chronic glomerulonephritis. His physician has informed him that he is probably a good candidate for continuous cycling peritoneal dialysis. Describe how you would expect this form of dialysis to impact on his vocational function as a taxi driver.

Question 12

Discuss the stages of chronic kidney disease. Address how each stage will impact an individual's life role, giving examples that might be seen in the client.

Question 13

List two possible complications of peritoneal dialysis.

Question 14

Discuss vocational implications for individuals on hemodialysis.

Question 15

Distinguish between acute and chronic renal failure.

Question 16

Describe the pretransplant evaluation which individuals receive before renal transplantation.

Question 17

You are discussing with Mr. B the need for dietary changes with his new diagnosis of chronic kidney disease. You have explained that Mr. B must have a diet with restrictions of sodium, potassium, and low protein. Mr. B has asked for a list of foods that he will be able to eat. Discuss what types of foods he needs to be aware of.

Question 18

Describe the manifestations, diagnosis, and treatment of urinary tract infections.

Question 19

List the ways the kidney stones are removed.

Question 20

Explain what glomerulonephritis is and the manifestations of this disease.