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A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

The client states that they consume a high calcium diet and have had high calcium in their blood.

The client reports that they had two urinary tract infections (UTI) in the past 10 months.

The client reports that they took a lot of ibuprofen for arthritis for many years.

The client states that they remember their mother saying their grandmother had this same genetic disease.

Answer and Explanation

The Correct Answer is B

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

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Correct Answer is D

Explanation

Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.

Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.

Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.

Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.

A. "I should increase my sodium intake." B. "I should expect my provider to prescribe a kidney biopsy." C. "I can expect to have swelling in my face." D. "I will lose protein in my urine."

Correct Answer is A

Explanation

Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.

Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.

Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.

Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.

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A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?

A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

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?

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine is 1.1 mg/dL, and hematocrit is 50%. Which of the following nursing interventions is appropriate?

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)