The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?

Diagnosis

Assessment

Implementation

Outcomes identification

Answer and Explanation

The Correct Answer is B

Choice A reason: Diagnosis is the identification of a disease or condition, which is not directly related to reviewing kidney function test data.

Choice B reason: Assessment involves collecting and analyzing data, which is what the nurse is doing when reviewing kidney function test results.

Choice C reason: Implementation refers to carrying out interventions, not reviewing test data.

Choice D reason: Outcomes identification involves setting goals and expected outcomes, not reviewing test data.

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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.

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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The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

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 teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?

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?