Pathophysiology GI quiz
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1. A nurse is evaluating a patient's risk for renal disor- a. A patient with diabetes
ders. Which of the following increase the risk for renal mellitus
dysfunction? Select all that apply. b. A patient with severe hy-
a. A patient with diabetes mellitus pertension
b. A patient with severe hypertension c. A patient with systemic
c. A patient with systemic lupus erythematosus lupus erythematosus
d. A patient with cirrhosis
e. A patient with peptic ulcer disease
2. A critical care patient is to receive continual renal re- a. The patient's blood will
placement therapy (CRRT). What is an appropriate de- be purified over 24 hours.
scription to share with family members of the patient?
a. The patient's blood will be purified over 24 hours.
b. CRRT is a form of hemodialysis and is done every 3
days.
c. CRRT is a form of plasmapheresis and removes anti-
bodies from the plasma.
d. CRRT provides intravenous (IV) infusions due to fluid
loss.
3. A patient's urinalysis reveals the presence of glucose. c. The patient may have di-
Which of the following should be considered first? abetes mellitus.
a. The patient is eating too many carbohydrates.
b. Decreased glomerular filtration rate (GFR) is concen-
trating the urine too much.
c. The patient may have diabetes mellitus.
d. The patient has kidney failure.
4. A patient passes a kidney stone. What is the most likely c. Calcium
composition of the stone?
a. Cystine
b. Uric acid
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c. Calcium
d. Magnesium
5. A patient has oliguria. Which of the following interpre- c. The patient's urine out-
tations by the nurse is correct? put is less than 400
a. The patient has increased urine output compared mL/day.
with normal.
b. The patient has a urinary stone.
c. The patient's urine output is less than 400 mL/day.
d. The patient's glomerular filtration rate (GFR) must
be elevated.
6. A patient is taking a nephrotoxic drug. Which type of b. Intrarenal
renal dysfunction is the nurse most likely concerned
about developing?
a. Prerenal
b. Intrarenal
c. Postrenal
d. Juxtarenal
7. A patient's glomerular filtration rate (GFR) is 110 a. Renal function is normal.
mL/min. Which of the following interpretations is cor-
rect?
a. Renal function is normal.
b. The value is too high; the kidneys are not concen-
trating the urine.
c. This value is too low; the patient is retaining fluids.
d. The value is too low due to decreased renal perfu-
sion.
8. A nurse is reviewing urinalysis results. Which factors d. Leukocyte esterase
does she review to see whether the patient has a uri- e. Nitrite
nary tract infection? Select all that apply.