A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Fever

Urinary urgency

Incontinence

Gastrointestinal upset

Flank pain

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.

Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are

located in the lower part of the urinary tract.

Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.

Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.

Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.

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Correct Answer is C

Explanation

Choice A reason: The output solution is typically the same or slightly less than the input solution due to fluid removal during dialysis.

Choice B reason: The fluid from the abdomen should be clear or slightly yellow; any other color may indicate infection or bleeding.

Choice C reason: Using a microwave to warm the solution is not recommended as it can unevenly heat the solution and damage its composition.

Choice D reason: While sterile precautions are taken, there is still a risk of infection with any catheter.

A. Breast cancer survivor for 8 years B. Pacemaker C. 65 years of age D. Alcohol use disorder

Correct Answer is D

Explanation

Choice A reason: Being a breast cancer survivor is not an absolute contraindication for kidney transplant. Patients with a history of malignancy should be successfully treated before proceeding with transplantation, and most candidates with a history of cancer are advised to wait a period of time between successful treatment and transplantation.

Choice B reason: Having a pacemaker is not a contraindication for kidney transplant. Patients with cardiac devices can undergo transplantation if their cardiac condition is stable and well-managed.

Choice C reason: Age alone, such as being 65 years of age, is not an absolute contraindication for kidney transplant. Many transplant centers perform successful kidney transplants in older adults, considering their overall health and potential benefits from the procedure.

Choice D reason: Active drug or alcohol addiction is considered a contraindication for kidney transplantation. Patients with addiction should be in an established recovery program and stable for a minimum of one year before being considered for transplant.

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A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is D

Explanation

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