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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: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.

Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.

Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.

Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.

A. CAPD is the dialysis treatment of choice for clients who have a history of abdominal surgery. B. CAPD requires a rigid schedule of exchange times. C. CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires. D. CAPD filters the client's blood through an artificial device called a dialyzer.

Correct Answer is C

Explanation

Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the

treatment of choice due to this reason alone.

Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.

Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.

Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.

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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 is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

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