Chapter 54--Renal Dysfunction: Nursing Management

Chapter 54–Renal Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse, caring for a client diagnosed with pyelonephritis, realizes that common risk factors for the development of this disorder include all of the following EXCEPT:

ANS:  4

One of the causes of pyelonephritis is urinary retention. Causes of urinary retention are prostate gland hypertrophy, masses, urinary calculi, or ureteral obstruction. Orthostatic hypotension does not cause pyelonephritis.

PTS:   1                    DIF:    Analyze         REF:   Pyelonephritis: Etiology

2. A client is diagnosed with autosomal dominant polycystic kidney disease. During data collection, which assessment finding would the nurse expect to discover?

ANS:  3

Pain and hematuria are common manifestations of autosomal dominant polycystic kidney disease. Other signs may include increasing abdominal girth, proteinuria, urinary tract infection, hypertension, and enlarged, irregularly shaped kidneys.

PTS:   1                    DIF:    Apply

REF:   Polycystic Kidney Disease: Assessment with Clinical Manifestations

3. A client is being prescribed medication to treat polycystic kidney disease. Which of the following medications would be indicated for this client?

ANS:  1

Cephalosporins are considered first line antibiotics for management of cysts with polycystic kidney disease. Antifungal, antihypertensives, and antiarrhythmic medications are not used to treat this disorder.

PTS:   1                    DIF:    Apply

REF:   Box 54-1 Antibiotic Therapy for Infected Cysts in Patients with Polycystic Kidney Disease

4. A client is diagnosed with resistant polycystic kidney disease. The medications which may be indicated for this client would be:

ANS:  2

Clindamycin and gentamicin are lipid-soluble antibiotics used to penetrate the resistant cysts. Penicillin and aminoglycosides are part of the first-line management of polycystic kidney disease. Metolazone and amiloride are diuretics. Pyridium and Urogesic are nonopioid analgesics.

PTS:   1                    DIF:    Analyze

REF:   Box 54-1 Antibiotic Therapy for Infected Cysts in Patients with Polycystic Kidney Disease

5. A client is diagnosed with rhabdomyolysis. The nurse realizes that an emergency condition that may occur with this diagnosis would be:

ANS:  4

Rhabdomyolysis is a condition of muscle tissue destruction. Compartment syndrome may develop with extensive muscle damage. Shortness of breath, joint aches, and pulmonary hemorrhage are assessment findings of Wegener’s granulomatosis.

PTS:   1                    DIF:    Analyze         REF:   Rhabdomyolysis: Etiology; Pathophysiology