Nokea
___ is a term for severe generalized edema.
- A. Anasarca
Correct Answer: Anasarca
Rationale: The patient with nephrotic syndrome has severe generalized edema (anasarca), anorexia, fatigue, and impaired renal function.
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In which way will the nurse instruct the patient to do before obtaining the urine specimen for a urine culture?
- A. Collect the urine for a 24-hour period.
- B. Obtain a clean-catch specimen.
- C. Bring in an early morning specimen.
- D. Limit fluid intake to concentrate the urine.
Correct Answer: B
Rationale: Urine cultures are dependent on a clean-catch or catheterized specimen.
Which step is the second step of blood flow in order of flow through the nephron?
- A. Reabsorption in loop of Henle
- B. Efferent arteriole
- C. Filtration in the glomerulus
- D. Reabsorption in proximal convoluted tubule
- E. Afferent arteriole
- F. Secretion in the distal convoluted tubule
Correct Answer: C
Rationale: The blood enters the nephron via the afferent arteriole, is filtered through the glomerulus, reabsorption occurs in the proximal convoluted tubule, then the loop of Henle, then the distal convoluted tubule, and then out the efferent arteriole.
As the nurse and the dietitian review a female patient's diet plan with her, she shouts that with her diabetes and now the kidney failure, there is just nothing she can eat. She says she might as well eat what she wants, because there is nothing she can do to help herself. Based on the patient's response, which patient problem does the nurse identify?
- A. The patient will not likely follow a prescribed diet due to anger.
- B. The patient does not understand the diet, and will likely have poor nutrition.
- C. The patient is in the grieving process, due to the probability she will die soon.
- D. The patient is feeling unable to cope, and feels helpless over having diabetes and kidney failure.
Correct Answer: D
Rationale: Ineffective coping due to the feeling of powerlessness against the multiorgan failure may result in aggressive or infantile behavior.
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.
The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside, which change in the urine is normal?
- A. proteinuria.
- B. oliguria.
- C. hematuria.
- D. anasarca.
- E. oliguria.
Correct Answer: A,C
Rationale: Proteinuria and hematuria may exist microscopically even when other symptoms subside.