Nokea
The nurse is caring for a client with nephrotic syndrome. Which of the following assessment findings would be expected? Select all that apply.
- A. Proteinuria
- B. Hypoalbuminemia
- C. Edema
- D. Hyperglycemia
- E. Jaundice
Correct Answer: A,B,C
Rationale: Nephrotic syndrome causes proteinuria, hypoalbuminemia, and edema due to glomerular damage and protein loss.
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The nurse is precepting a new graduate who will be caring for a client with bacterial cystitis. Which of the following statements by the new graduate requires follow-up?
- A. The client should be counseled to increase their fluid intake.'
- B. A 24-hour urine sample will be needed to confirm the diagnosis.'
- C. Risk factors include frequent intercourse and douching.'
- D. Cranberry concentrate may be used to prevent future infections.'
Correct Answer: B
Rationale: A 24-hour urine sample is not typically required for bacterial cystitis diagnosis, which relies on urinalysis or culture.
The nurse is caring for an assigned client. Which prescription requires clarification with the primary healthcare provider (PHCP) based on the laboratory data?
- A. furosemide
- B. vancomycin
- C. ibuprofen
- D. citalopram
- E. enalapril
Correct Answer: C
Rationale: Ibuprofen can worsen renal function in kidney injury, requiring clarification.
The nurse cares for a client diagnosed with end-stage renal disease who just returned from initial hemodialysis. Which of the following assessment findings is of the highest concern?
- A. Headache and nausea
- B. Scant blood on the AV fistula
- C. Potassium 3.7 mEq/L (mmol/L) [3.5-5.0 mEq/L, mmol/L]
- D. Hemoglobin 8.8 g/dL [Male: 14-18 g/dL; Female: 12-16 g/dL, Female 115-155 g/L Male 125-170 g/L]
Correct Answer: A
Rationale: Headache and nausea may indicate dialysis disequilibrium syndrome, a serious complication requiring immediate attention.
The oncoming nurse learns that her new patient is suffering from Syndrome of Inappropriate Antidiuretic Hormone (SIADH) secretion. Which of the following nursing actions is the most important?
- A. Assess the patient's mental status
- B. Provide oral hygiene
- C. Keep accurate intake and output measurements
- D. Reduce stress and discomfort
Correct Answer: A
Rationale: SIADH causes hyponatremia, which can lead to neurological changes, making mental status assessment critical.
The nurse is reviewing the client's laboratory data. Which current prescription should the nurse clarify with the primary healthcare provider (PHCP)?
- A. hydrochlorothiazide
- B. lisinopril
- C. naproxen
- D. tamsulosin
Correct Answer: C
Rationale: Naproxen can impair renal function, requiring clarification in clients with kidney issues.