A nurse is caring for a client in the emergency department who reports bloody urine, frequent urination, and lower back pain rated as a 9 on a scale of 0 to 10. The provider performs a physical assessment on the client and tells the client, "I think you have polycystic kidney disease, but we will order a CT scan to confirm." Which of the following physical findings did the provider most likely find during the physical assessment that led to the possible diagnosis of polycystic kidney disease?

Distended bladder

Periorbital edema

Palpable kidney mass

Crackles in the lungs

Answer and Explanation

Correct Answer : C

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

No explanation

A. A client who is taking gentamicin for infection B. A client who has heart failure C. A client who is 1 day postoperative following a colon resection D. A client who has pneumonia

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

Explanation

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply

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

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

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

Explanation

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

A nurse is caring for a group of clients on a urology unit. Which clients are the most at risk for benign prostatic hypertrophy (BPH)? (Select all that apply.)

A nurse is participating in the evaluation of the client's understanding of chronic kidney disease. Which of the following client statements indicate understanding of food restrictions? (Select all that apply.)

A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is the most at risk for developing acute glomerulonephritis?

A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

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.)