NURS 317 Unit 1 Practice (Q) Flashcards
An infant has been diagnosed with autosomal recessive polycystic kidney disease (ARPKD). Which of the following treatment goals would be considered the priority in the care of this child?
a) Prophylactic antibiotics
b) Total parenteral nutrition
c) Respiratory support
d) Rehydration therapy
c) Respiratory support
If a client with a kidney stone has the “classic” ureteral colic, the client will describe his pain as: Select all that apply.
a) Acute, intermittent
b) Excruciating
c) Diffuse over the entire lower back and legs
d) In the flank and upper outer quadrant of the abdomen
a) Acute, intermittent
b) Excruciating
d) in the flank and upper outer quadrant of the abdomen
The most damaging effects of urinary obstruction are the result unrelieved obstruction of urine outflow and:
a) Concentrated urine
b) Kidney hyperplasia
c) Renal hypertension
d) Urinary stasis
d) Urinary stasis
Client and family education regarding peritoneal dialysis should include assessing the client for:
a) Dehydration that may appear as dry mucous membranes or poor skin turgor
b) Muscle cramps associated with hypoparathyroidism
c) Signs and symptoms of hypoglycemia such as weakness, irritability, and shakiness
d) Bleeding around the arteriovenous fistula or an external arteriovenous shunt
a) Dehydration that may appear as dry mucous membranes or poor skin turgor
The primary care provider for a newly admitted hospital client has added the glomerular filtration rate (GFR) to the blood work scheduled for this morning. The client’s GFR results return as 50 mL/minute/1.73 m2. The nurse explains to the client that this result represents:
a) A loss of over half the client's normal kidney function b) Concentrated urine c) The kidneys are functioning normally d) A need to increase water intake
a) A loss of over half the client’s normal kidney function
Which of the following individuals likely faces the greatest risk for the development of chronic kidney disease?
a) A first-time mother who recently lost 1.5 L of blood during a postpartum hemorrhage
b) A client who experienced a hemorrhagic stroke and now has sensory and motor deficits
c) A client with a recent diagnosis of type 2 diabetes who does not monitor his blood sugars or control his diet
d) A client whose diagnosis of thyroid cancer necessitated a thyroidectomy
c) A client with a recent diagnosis of type 2 diabetes who does not monitor his blood sugars or control his diet
A client had excessive blood loss and prolonged hypotension during surgery. His postoperative urine output is sharply decreased, and his blood urea nitrogen (BUN) is elevated. The most likely cause for the change is acute:
a) Intrarenal nephrotoxicity b) Tubular necrosis c) Prerenal inflammation d) Bladder outlet obstruction
b) Tubular necrosis
Although urinary obstruction and urinary incontinence have almost opposite effects on urination, they can both result from:
a) Bladder wall atrophy b) Bladder distensibility loss c) Bladder structure changes d) Micturition reflex spasms
a) Bladder wall atrophy
A 40-year-old female with the diagnosis of multiple sclerosis has been experiencing severe bladder spasms along with less bladder volume. This is likely due to: Select all that apply.
a) Neurogenic detrusor overactivity b) Uninhibited bladder c) Bladder atonia d) Autonomic hyperreflexia
a) Neurogenic detrusor overactivity
b) Uninhibited bladder
A public health nurse is conducting a health promotion class for a group of older adults. Which of the participants’ following statements demonstrates an accurate understanding of the risk factors for bladder cancer?
a) “I suppose I should listen to my doctor and drink more cranberry juice.”
b) “I can see that preventing bladder cancer is one more benefit of a healthy diet.”
c) “I think I should be okay because there’s no history of bladder cancer in my family
that I’m aware of.”
d) “More than ever, I guess it would worthwhile for me to quit smoking.”
d) “More than ever, I guess it would worthwhile for me to quit smoking.”
The nurse is caring for a patient who is taking acetazolamide (Diamox) for treatment of glaucoma. What drug, if taken with acetazolamide (Diamox), would cause the nurse to contact the physician?
a) Ibuprofen (Motrin) b) Lithium (Eskalith) c) Colestipol (Colestid) d) Indomethacin (Indocin)
b) Lithium (Eskalith)
A patient who was recently prescribed spironolactone calls the clinic and complains that he is not urinating as much as he did when he first started taking this medication. What would be an appropriate question for the nurse to ask this patient?
a) "Are you taking a salicylate?" b) "Are you taking ibuprofen?" c) "Are you using a lot of salt?" d) "Are you taking acetaminophen?"
a) “Are you taking a salicylate?”
A nursing instructor is teaching a group of students about loop diuretics. Which would be included in this classification? (Select all that apply.)
a) Acetazolamide b) Ethacrynic acid c) Torsemide d) Mannitol e) Bumetanide
b) Ethacrynic acid
c) Torsemide
e) Bumetanide
The nurse on the coronary unit is caring for a patient with known coronary artery disease who is being treated with cholestyramine (Questran) and hydrochlorothiazide (HydroDIURIL). What action will the nurse take?
a) Give the patient an antacid with the drugs.
b) Make sure that the drugs are given at least 2 hours apart.
c) Check the patient’s blood glucose level before giving the drugs.
d) Call the physician and refuse to give the drugs without further orders.
b) Make sure that the drugs are given at least 2 hours apart.
A patient with glaucoma has been prescribed a diuretic as treatment of his or her disease process. What drug does the nurse suspect that the patient will be prescribed?
a) Chlorthalidone (Hygroton) b) Acetazolamide (Diamox) c) Bendroflumethiazide (Naturetin) d) Spironolactone (Aldactone)
b) Acetazolamide (Diamox)
