Put your thinking caps on for this one! A 27 year old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur:
atrophy of the remaining kidney
compensatory hypertrophy of the remaining kidney
renal failure
dysplasia in the remaining kidney
The Correct Answer is B
A. Atrophy of the remaining kidney: In cases of unilateral kidney loss, the remaining kidney typically does not atrophy but instead adapts to compensate for the lost function. Atrophy would be unlikely unless there is an underlying disease affecting the remaining kidney.
B. Compensatory hypertrophy of the remaining kidney: When one kidney is removed or nonfunctional, the remaining kidney often undergoes compensatory hypertrophy, increasing in size and function to handle the body's metabolic needs. This process helps maintain adequate renal function despite loss of one kidney.
C. Renal failure: While loss of one kidney reduces overall renal mass, a healthy remaining kidney usually compensates sufficiently to prevent renal failure. Renal failure is unlikely unless the remaining kidney has preexisting damage or disease.
D. Dysplasia in the remaining kidney: Dysplasia refers to abnormal development or growth of tissue, typically congenital. It is not an expected response to removal of the opposite kidney. The remaining kidney usually develops normally unless affected by a congenital abnormality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Proteus mirabilis: While Proteus mirabilis is a recognized cause of UTIs, especially in catheterized patients or those with structural abnormalities, it is not the most common pathogen overall.
B. Escherichia coli: E. coli is by far the most common pathogen responsible for urinary tract infections, accounting for approximately 80–90% of uncomplicated UTIs due to its ability to adhere to the uroepithelium with fimbriae.
C. Staphylococcus saprophyticus: This organism is a common cause of UTIs in sexually active young women, but overall it is much less prevalent than E. coli across all age groups and sexes.
D. Klebsiella pneumoniae: Although K. pneumoniae can cause UTIs, particularly in hospitalized or immunocompromised patients, it is not as frequently encountered as E. coli in community-acquired cases.
Correct Answer is "{\"xRanges\":[118.328125,148.328125],\"yRanges\":[263,293]}"
Explanation
McBurney's point is a specific location on the lower right quadrant of the abdomen that is used in diagnosing acute appendicitis. It is situated one-third of the distance from the right anterior superior iliac spine to the umbilicus.Tenderness at McBurney's point is a key clinical sign of appendicitis, often indicating that the inflammation has progressed beyond the appendix itself and is affecting the peritoneum.
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