A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?

Chronic nephropathies that lead to fibrosis and destruction of normal kidney structure and function

Obstruction leading to the filtration system backing up and eventually shutting the kidneys down

Reduction of blood flow to the kidneys

Acute tubular necrosis caused by the damage to the cells of the renal tubules leading to cell death and a decreased glomerular filtration rate

Answer and Explanation

The Correct Answer is A

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Correct Answer is ["B","C","E","F"]

Explanation

B. Tamsulosin use and adverse effects

Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.

C. Urinary tract infection manifestations

Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.

E. Signs of worsening BPH

Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.

F. Lifestyle modifications for managing symptoms

Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.

Note:

A. Increasing exercise

Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.

D. A diet low in calcium oxalate

Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.

A. Aspiration B. Polyuria C. Abdominal distention D. Stomatitis

Correct Answer is C

No explanation

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A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client newly diagnosed with benign prostatic hypertrophy (BPH). Which topics are important to include in the education about this disease? (Select all that apply.)

Correct Answer is ["B","C","E","F"]

Explanation

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse should monitor the client for which of the following conditions as a complication TPN?

Correct Answer is C

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