Which outcome is most necessary for a patient diagnosed with renal calculi?
Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief.
Patient is able to describe measures to prevent recurrence of calculi.
Patient will avoid infections and situations that would increase stress.
Patient will measure intake and output so that they will be approximately equal.
The Correct Answer is B
A. Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief: Awareness of symptoms is important, but prevention of recurrence is the primary goal.
B. Patient is able to describe measures to prevent recurrence of calculi: Prevention is the primary long-term goal in managing renal calculi. Understanding dietary adjustments, hydration, and lifestyle changes is crucial.
C. Patient will avoid infections and situations that would increase stress: Avoiding infections and stress is helpful but is not the main goal specific to renal calculi management.
D. Patient will measure intake and output so that they will be approximately equal: While monitoring hydration is important, it supports rather than defines the primary outcome of preventing recurrence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Potassium: Potassium levels may rise in kidney dysfunction but are not directly related to increased glomerular permeability.
B. Sodium: Sodium imbalance occurs in kidney dysfunction but is not a direct result of glomerular permeability.
C. Proteins: Increased permeability in glomerulonephritis allows proteins to leak into the urine, resulting in proteinuria.
D. Water: Water imbalance can occur, but it is not related to glomerular permeability.
Correct Answer is D
Explanation
A. Inject the ordered amount of heparin into the fistula: Heparin is not used to treat occlusion in a fistula without specific orders or a proper diagnostic workup.
B. Apply warm compresses and lower the arm below the heart level: These interventions are not effective for resolving an absent trill in an AV fistula.
C. Send the patient to dialysis for remedy: The absence of a trill requires immediate assessment before considering dialysis treatment.
D. Report to the charge nurse that the fistula is occluded: An absent trill may indicate occlusion or thrombosis of the AV fistula, which requires urgent evaluation and intervention.
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