The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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

Explanation

A. The primary function of the kidneys is to filter blood and eliminate waste products as urine.
B. Vitamin B12 activation primarily occurs in the liver, not the kidneys.

C. The kidneys help regulate the body's acid-base balance by excreting or conserving bicarbonate ions and hydrogen ions.
D. The kidneys produce erythropoietin, a hormone that stimulates the production of red blood cells in the bone marrow.
E. The kidneys play a key role in regulating blood pressure by adjusting the volume of blood and the balance of electrolytes in the body. They also produce hormones such as renin, which helps regulate blood pressure.

A. "Wear tight fitting clothes." B. "Take baths instead of showers." C. "Empty the drainage bag at the same time each day." D. "Secure the tubing to your clothing"

Correct Answer is D

Explanation

A. Tight fitting clothes may put pressure on the T-tube insertion site and interfere with drainage. Loose-fitting clothing is recommended.
B. Showering is typically preferred over baths to keep the T-tube site clean and dry.

Baths may increase the risk of infection.

C. Regular emptying of the drainage bag helps prevent excessive weight, which can pull on the T-tube and cause discomfort or displacement. However, it should necessarily be emptied at the same time each day.
D. Securing the tubing to clothing helps prevent accidental dislodgment or pulling on the T-tube, reducing the risk of complications.

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The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following describe the function of the kidneys? Select all that apply.

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

Explanation

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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