What results in the edema associated with nephrotic syndrome?
- A. Hypercoagulability
- B. Hyperalbuminemia
- C. Decreased plasma oncotic pressure
- D. Decreased glomerular filtration rate
Correct Answer: C
Rationale: The edema associated with nephrotic syndrome is a result of decreased plasma oncotic pressure, which leads to fluid leaking out of the blood vessels and into the tissues.
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The male patient is admitted with a diagnosis of benign prostatic hyperplasia (BPH). What urination characteristics should the nurse expect to assess in this patient?
- A. Oliguria
- B. Hesitancy
- C. Hematuria
- D. Pneumaturia
Correct Answer: B
Rationale: The correct answer is B because hesitancy is a common urination characteristic in patients with benign prostatic hyperplasia. Oliguria, hematuria, and pneumaturia are not typically associated with BPH.
Which important functions of regulation of water balance and acid-base balance occur in the distal convoluted tubes of the nephron?
- A. Secretion of H+ into filtrate
- B. Reabsorption of water without ADH
- C. Reabsorption of Na+ in exchange for K+
- D. Reabsorption of glucose and amino acids
Correct Answer: A
Rationale: The distal convoluted tubules play a role in secreting H+ into the filtrate and reabsorption of water under ADH influence for regulation of water and acid-base balance.
During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about a history of
- A. angina
- B. asthma
- C. hypertension
- D. rheumatoid arthritis
Correct Answer: C
Rationale: Hypertension is a common complication of renal insufficiency and is important to assess as it can impact the progression of the disease and treatment options.
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
- A. Drink fluids or use hard candy when you experience a dry mouth.
- B. Be sure to notify your physician if you experience a heart rate of less than 60 per minute.
- C. Take the medication on an empty stomach for better absorption.
- D. Avoid all citrus fruits and juices while on this medication.
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
Which intervention should you delegate to the nursing assistant for a patient with cystitis?
- A. Show the patient how to secure a clean-catch urine sample.
- B. Check the patient's urine for color, odor, and sediment.
- C. Review the nursing care plan and add nursing interventions.
- D. Provide the patient with a clean-catch urine sample container.
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.