A nurse is caring for a client experiencing kidney failure. The nurse recognizes that kidney failure causes the loss of which of the following processes integral to maintaining homeostasis?

Distribution of protein

Filtration of the blood

Metabolism of medications

Ability to hold urine

Answer and Explanation

The Correct Answer is B

A. Distribution of protein: While protein distribution may be affected in kidney disease, it is not a primary function of the kidneys.

B. Filtration of the blood: The kidneys are responsible for filtering waste products and excess substances from the blood. In kidney failure, this filtration process is impaired, leading to the accumulation of toxins in the body.

C. Metabolism of medications: Although the kidneys do play a role in drug excretion, drug metabolism primarily occurs in the liver. Kidney failure may affect the excretion phase.

D. Ability to hold urine: While kidney failure can affect urinary function, the ability to hold urine is primarily a bladder function, not directly a function of the kidneys.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. The patient is hypertensive. Hypertension is not a prerequisite for starting BPH medication; in fact, some BPH medications can lower blood pressure.

B. The patient has had a prostate examination, including measurement of the PSA level. A prostate examination and PSA measurement are important for diagnosing BPH and ruling out prostate cancer before starting treatment.

C. The patient is still sexually active. Sexual activity status is not a determining factor for administering BPH medication.

D. The patient has not had a vasectomy. Vasectomy status does not influence the treatment of BPH.

A. Perform passive range of motion exercises. B. Place pillows under the client's knees when in bed. C. Assess legs for redness. D. Apply elastic compression stockings E. Massage the calves every shift

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

Explanation

A. Perform passive range of motion exercises. Passive range of motion exercises help maintain circulation and reduce venous stasis, which is crucial for preventing pulmonary embolism in clients who are immobile.

B. Place pillows under the client's knees when in bed. Placing pillows under the knees can actually promote venous stasis and increase the risk of a pulmonary embolism. It is better to keep the legs flat to encourage circulation.

C. Assess legs for redness. Regular assessment of the legs for redness, swelling, or warmth helps in the early detection of deep vein thrombosis (DVT), which can lead to pulmonary embolism if not addressed.

D. Apply elastic compression stockings. Elastic compression stockings promote venous return from the legs to the heart and help prevent DVT, thereby reducing the risk of pulmonary embolism.

E. Massage the calves every shift. Massaging the calves can dislodge a thrombus and potentially lead to a pulmonary embolism. Instead, interventions should focus on preventing thrombus formation.

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A nurse is caring for a client experiencing kidney failure. The nurse recognizes that kidney failure causes the loss of which of the following processes integral to maintaining homeostasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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