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 ["C","D"]

Explanation

a.Weight monitoring is important for managing fluid balance. However, daily weight checks are typically recommended for clients on dialysis to accurately monitor fluid changes and detect any issues early. Weighing oneself every other day might not provide sufficient information for managing fluid status effectively.

b.This approach is not ideal. Diuretics should be taken as prescribed by the healthcare provider, not based on subjective symptoms like puffiness of the feet. Adhering to the prescribed medication schedule is crucial for managing fluid balance.

c.This statement indicates a good understanding of fluid restriction guidelines. Following the prescribed fluid intake limits is essential for maintaining proper fluid balance and preventing complications.

d.Shortness of breath can be a sign of fluid overload or other complications, and it is important to seek medical advice promptly. Calling the doctor in such situations shows an understanding of when to seek help.

A. Detrusor muscle overactivity that causes bladder contraction, loss of neurological control, or irritation of the bladder B. Bladder obstruction that blocks urine excretion or contractility of the detrusor muscle has been impaired C. Weakness of the urethral sphincter or the pelvic floor muscles D. An obstruction of the urethra due to a renal stone or a urethral stricture

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 assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is assisting in the assessment of a client coming into the clinic for complaints of painful urination. The client reports that they leak urine when they sneeze, cough, or lift heavy objects. Which of the following best describes the cause of this type of urinary elimination alteration?

Correct Answer is C

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