Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 29- Patient Assessment- Renal System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is working with a patient with suspected acute renal failure. Which of the assessments would provide accurate information about this patient’s fluid balance? Select all that apply. | |
| A) | Daily measure of patient’s weight at the same time, using same scale | |
| B) | Monitoring of intake and output every 1 to 2 hours | |
| C) | Monitoring of blood sugar levels hourly | |
| D) | Taking x-rays of the kidneys weekly | |
| 2. | A nurse is assessing a patient with acute renal failure for pitting edema. She gently presses her finger into the edematous area on the patient’s foot. She measures an indention of 8 mm, which slowly returns to baseline after about 3 minutes. Which level of pitting edema does this patient exhibit? | |
| A) | 4+ (severe) | |
| B) | 3+ (moderate) | |
| C) | 2+ (mild) | |
| D) | 1+ (trace) | |
| 3. | A nurse has just received a clean-catch urine sample from the patient and is about to deliver it to the laboratory for analysis. She observes that it is dark yellow, has a cloudy or turbid appearance, and has an ammonia odor. Which of the following does the nurse suspect about the patient’s condition based on her observations? Select all that apply. | |
| A) | The patient is diabetic. | |
| B) | The patient has above-normal creatinine clearance. | |
| C) | The patient is dehydrated. | |
| D) | The patient has proteinuria. | |
| E) | The patient has intrarenal hemorrhaging. | |
| F) | The patient has a renal infection. | |
| 4. | On auscultating the patient’s heart, the nurse hears a third heart sound. What condition would this finding be most indicative of? | |
| A) | Renal artery stenosis | |
| B) | A faulty stethoscope | |
| C) | Hypotension | |
| D) | Fluid overload | |
| 5. | A nurse is examining a patient on dialysis. Which of the following should she especially look for in this patient? | |
| A) | The presence of a third heart sound | |
| B) | Pitting edema | |
| C) | Inflammation or infection near the access site | |
| D) | Crackles on auscultation of lungs | |
Answer Key
| 1. | A, B |
| 2. | A |
| 3. | C, F |
| 4. | D |
| 5. | C |
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