Nokea
A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The health care provider suspects renal cancer. When assisting with data collection from this patient, the nurse recognizes which risk factor as significant for renal cancer?
- A. High caffeine intake
- B. Cigarette smoking
- C. Use of artificial sweeteners
- D. Chronic cystitis
Correct Answer: B
Rationale: Risk factors include smoking; familial incidence; and preexisting renal disorders, such as adult polycystic kidney disease and renal cystic disease secondary to renal failure.
You may also like to solve these questions
Which foods will the home health nurse counsel patients with hypokalemia to include in their diet?
- A. Bananas, oranges, cantaloupe
- B. Carrots, summer squash, green beans
- C. Apples, pineapple, watermelon
- D. Winter squash, cauliflower, lettuce
Correct Answer: A
Rationale: The use of most diuretics, with the exception of the potassium-sparing diuretics, requires adding daily potassium sources (e.g., baked potatoes, raw bananas, apricots, or navel oranges, cantaloupe, winter squash).
A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of 'spasm-like' pain over his lower abdomen. Which step will be the initial intervention by the nurse?
- A. Inform the nurse in charge.
- B. Decrease the continuous bladder irrigation flow.
- C. Administer the prescribed analgesic.
- D. Check the catheter and drainage system for obstruction.
Correct Answer: D
Rationale: The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
When the patient receiving home health services is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service?
- A. National Kidney Foundation
- B. American Association of Kidney Patients
- C. American Red Cross
- D. Veterans Administration
Correct Answer: B
Rationale: The American Association of Kidney Patients offer support to the patient and family as they adapt to living with dialysis.
In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small ___ to pass through into the urine.
- A. proteins
Correct Answer: proteins
Rationale: In nephrotic syndrome, the glomeruli are damaged by inflammation and allow small proteins such as albumin to enter the urine. This creates a deficit of protein in the circulation volume (hypoalbuminemia), which leads to massive edema.
Which sign is indicative of fluid overload in the patient with chronic glomerulonephritis?
- A. Increase in blood pressure
- B. Increase in daily weight
- C. Clear lung sounds
- D. Edema
- E. Labored respirations
Correct Answer: A,B,D,E
Rationale: Signs and symptoms of fluid overload: increased blood pressure, respirations, cardiac sounds, and lung fields. Increase in daily morning weights.