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?

"I should increase my sodium intake."

"I should expect my provider to prescribe a kidney biopsy."

"I can expect to have swelling in my face."

"I will lose protein in my urine."

Answer and Explanation

The Correct Answer is A

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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Correct Answer is B

Explanation

Choice A reason: The pH of urine can vary, but having a more alkalotic urine does not necessarily promote the growth of bacteria. Urine is typically slightly acidic, which helps to prevent bacterial growth.

Choice B reason: The primary anatomical reason for the higher rates of UTIs in clients who have vaginas is the shorter length of the urethra compared to those who do not have vaginas. This shorter distance makes it easier for bacteria from the skin or rectal area to enter the bladder.

Choice C reason: The strength of the detrusor muscle, which controls the emptying of the bladder, does not have a direct correlation with the frequency of UTIs. UTIs are more related to bacterial invasion rather than muscle strength.

Choice D reason: Bladder capacity is generally not a factor in the frequency of UTIs. While residual urine can increase the risk of UTIs, this is not typically related to overall bladder capacity.

A. Breast cancer survivor for 8 years B. Pacemaker C. 65 years of age D. Alcohol use disorder

Correct Answer is D

Explanation

Choice A reason: Being a breast cancer survivor is not an absolute contraindication for kidney transplant. Patients with a history of malignancy should be successfully treated before proceeding with transplantation, and most candidates with a history of cancer are advised to wait a period of time between successful treatment and transplantation.

Choice B reason: Having a pacemaker is not a contraindication for kidney transplant. Patients with cardiac devices can undergo transplantation if their cardiac condition is stable and well-managed.

Choice C reason: Age alone, such as being 65 years of age, is not an absolute contraindication for kidney transplant. Many transplant centers perform successful kidney transplants in older adults, considering their overall health and potential benefits from the procedure.

Choice D reason: Active drug or alcohol addiction is considered a contraindication for kidney transplantation. Patients with addiction should be in an established recovery program and stable for a minimum of one year before being considered for transplant.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Correct Answer is B

Explanation

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is D

Explanation

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