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Pathophysiology of the renal system > Pathophysiology
Exam Review
Chronic Renal Failure
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Total Questions : 54
Showing 54 questions, Sign in for moreQuestion 1:
A nurse is teaching a client about the risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?
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Question 2:
A client with chronic renal failure asks the nurse about the purpose of the glomerular filtration rate (GFR) test. What is the nurse's best response?
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Question 3:
A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?
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Question 4:
A nurse is assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?
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Question 5:
A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports cloudy dialysate effluent during an exchange. What should the nurse do first?
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Question 6:
A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?
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Question 7:
A nurse is assessing a client with chronic renal failure. Which of the following clinical manifestations is commonly associated with this condition?
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Question 8:
A client with chronic renal failure is prescribed a low-protein diet. What is the primary reason for this dietary restriction?
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Question 9:
A nurse is caring for a client with chronic renal failure. Which electrolyte imbalance is most commonly associated with this condition?
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Question 10:
A client with chronic renal failure is at risk of developing metabolic bone disease. Which mineral and hormone imbalance is primarily responsible for this condition?
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Question 11:
A nurse is discussing treatment options with a client in the early stages of chronic renal failure. Which treatment modality focuses on removing waste products and excess fluid from the blood using a machine?
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Question 12:
A nurse is explaining the pathophysiology of chronic renal failure to a client. Which of the following statements accurately describes a key aspect of the disease process?
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Question 13:
A client with chronic renal failure asks a nurse about the role of the glomerulus in kidney function. Which of the following responses by the nurse is correct?
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Question 14:
A nurse is educating a client about the common risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?
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Question 15:
A nurse is providing a community education session about the risk factors for chronic renal failure. Which lifestyle factor should the nurse emphasize as a modifiable risk factor for kidney disease?
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Question 16:
A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?
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Question 17:
A client asks the nurse about the role of diabetes in the development of chronic renal failure. What is the nurse's best response?
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Question 18:
A nurse is assessing a client's risk factors for chronic renal failure. Which medication should the nurse recognize as a potential risk factor for kidney disease?
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Question 19:
A nurse is educating a client about the impact of cardiovascular disease on kidney health. Which statement made by the client demonstrates understanding?
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Question 20:
A nurse is caring for a client with chronic renal failure. Which symptom should the nurse prioritize as an early clinical manifestation of kidney dysfunction?
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Question 21:
A client with chronic renal failure reports persistent pruritus (itching). What is the nurse's best response?
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Question 22:
A client with chronic renal failure is experiencing anorexia and nausea. What is the nurse's priority action?
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Question 23:
A nurse is assessing a client with chronic renal failure for potential fluid overload. Which finding should the nurse prioritize as an early clinical manifestation of fluid retention?
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Question 24:
A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?
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Question 25:
A nurse is caring for a client with chronic renal failure. The client reports experiencing muscle cramps. What is the nurse's best action?
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Question 26:
A nurse is assessing a client with chronic renal failure. Which clinical manifestation should the nurse recognize as a common early symptom of kidney dysfunction?
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Question 27:
A client with chronic renal failure asks the nurse about the cause of their frequent bone pain. Which explanation by the nurse is accurate?
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Question 28:
A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?
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Question 29:
A client with chronic renal failure presents with difficulty concentrating, irritability, and muscle cramps. Which electrolyte imbalance should the nurse suspect as the cause of these symptoms?
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Question 30:
A client with chronic renal failure is experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?
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Question 31:
A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?
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Question 32:
A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?
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Question 33:
A client with chronic renal failure asks the nurse about the purpose of a GFR (glomerular filtration rate) test. What is the nurse's best response?
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Question 34:
A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?
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Question 35:
A nurse is reviewing the GFR calculation for a client with chronic renal failure. The client's serum creatinine level is 2.5 mg/dL. What should the nurse do next?
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Question 36:
A client with chronic renal failure is scheduled for a GFR test. The client asks the nurse if there is anything they need to do to prepare for the test. What is the nurse's best response?
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Question 37:
A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 10 mL/min/1.73m². How should the nurse interpret this result?
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Question 38:
A nurse is caring for a client with chronic renal failure. The client's GFR test result is 60 mL/min/1.73m². How should the nurse interpret this result?
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Question 39:
A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?
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Question 40:
A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?
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Question 41:
A nurse is caring for a client with chronic renal failure who is prescribed phosphate binders. What is the rationale for administering phosphate binders to this client?
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Question 42:
A nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?
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Question 43:
A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES to manage anemia. What should the nurse include in the client's education about ESA therapy
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Question 44:
A nurse is caring for a client with chronic renal failure who is receiving hemodialysis. What should the nurse include in the client's plan of care to prevent potential complications related to hemodialysis?
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Question 45:
A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports experiencing cloudy dialysate drainage. What should the nurse do first?
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Question 46:
A client with chronic renal failure is prescribed calcitriol (active form of vitamin D) to manage calcium and phosphate levels. The client asks the nurse about the purpose of this medication. How should the nurse respond?
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Question 47:
A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?
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Question 48:
A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?
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Question 49:
A client with chronic renal failure asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?
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Question 50:
A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?
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Question 51:
A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?
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Question 52:
A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?
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Question 53:
A client with chronic renal failure is prescribed hemodialysis three times a week. The client expresses concerns about the potential impact on their lifestyle. What is the nurse's best response?
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Question 54:
A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?
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