Gui NCLEX
Ani olderi patienti isi admittedi toi thei hospitali withi cardiaci complicationsi associatedi
withi diabetes.i Whati shouldi bei ofi concerni toi thei nursei regardingi thisi patient'si
medications?
1.i thei typei andi amounti ofi medicationsi ini relationi toi thei patient'si renali function
2.i whetheri thei patienti isi takingi thei prescribedi dosages
3.i whati vitaminsi andi supplementsi thisi patienti isi taking
4.i thei costsi ofi thei patient'si medicationsi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Decreasedi glomerulari filtrationi ratei (GFR)i ini thei olderi adulti alsoi
reducesi thei clearancei ofi drugsi excretedi throughi thei kidneys.i Thisi reducedi
clearancei prolongsi thei half-lifei ofi drugsi andi mayi necessitatei loweri drugi dosesi
andi longeri dosingi intervals.i Commoni medicationsi affectedi byi decreasedi GFRi
includei cardiaci medicationsi andi anti-diabetici agents.i Assessingi thei patient'si
compliancei withi thei prescribedi dosei isi importanti ini anyi circumstancei buti isi noti
specifici toi thisi scenario.
Rationalei 2:i Assessingi thei patient'si compliancei withi thei prescribedi dosei isi
importanti ini anyi circumstancei buti isi noti specifici toi thisi scenario.
Rationalei 3:i Usei ofi vitamini supplementsi shouldi bei assessed,i buti isi noti specifici
toi thei situationi described.
Rationalei 4:i Thei nursei mighti suspecti noncompliancei ifi thei costi ofi medicationsi isi
ani issuei buti thisi isi noti ai priorityi otherwise.
Globali Rationale:i Decreasedi glomerulari filtrationi ratei (GFR)i ini thei olderi adulti
alsoi reducesi thei clearancei ofi drugsi excretedi throughi thei kidneys.i Thisi reducedi
clearancei prolongsi thei half-lifei ofi drugsi andi mayi necessitatei loweri drugi dosesi
andi longeri dosingi intervals.i Commoni medicationsi affectedi byi decreasedi GFRi
includei cardiaci medicationsi andi anti-diabetici agents.i Assessingi thei patient'si
compliancei withi thei prescribedi dosei isi importanti ini anyi circumstancei buti isi noti
specifici toi thisi scenario.i Usei ofi vitamini supplementsi shouldi bei assessed,i buti isi
noti specifici toi thei situationi described.i Thei nursei mighti suspecti noncompliancei ifi
thei costi ofi medicationsi isi ani issuei buti thisi isi noti ai priorityi otherwise.
Ai patienti isi diagnosedi withi hypertensioni causedi byi polycystici kidneyi disease.i
Whati mighti bei helpfuli toi controli thisi patient'si bloodi pressure?
1.i ACEi inhibitors
2.i kidneyi transplant
3.i dialysis
4.i peritoneali dialysisi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Hypertensioni associatedi withi polycystici diseasei isi generallyi controlledi
usingi angiotensin-convertingi enzymei (ACE)i inhibitorsi ori otheri antihypertensivei
agents.
Rationalei 2:i Renali transplanti isi indicatedi wheni kidneyi functioni cannoti controli thei
wastesi fromi metabolici processes.
Rationalei 3:i Dialysisi isi indicatedi wheni kidneyi functioni cannoti controli thei wastesi
fromi metabolici processes.
1i |i P a g e
,Rationalei 4:i Dialysisi isi indicatedi wheni kidneyi functioni cannoti controli thei wastesi
fromi metabolici processes.
Globali Rationale:i Hypertensioni associatedi withi polycystici diseasei isi generallyi
controlledi usingi angiotensin-convertingi enzymei (ACE)i inhibitorsi ori otheri
antihypertensivei agents.i Renali transplanti ori dialysisi isi indicatedi wheni kidneyi
functioni cannoti controli thei wastesi fromi metabolici processes.
Threei weeksi afteri beingi treatedi fori strepi throat,i ai patienti comesi intoi thei clinici
withi signsi ofi acutei glomerulonephritis.i Whati symptomi willi thei nursei mosti likelyi
findi uponi assessmenti ofi thisi patient?
1.i periorbitali edema
2.i hunger
3.i polyuria
4.i polyphagiai -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Salti andi wateri retentioni increasei extracellulari fluidi volume,i whichi
leadsi toi hypertensioni andi edema.i Thei edemai isi primarilyi notedi ini thei face,i
particularlyi aroundi thei eyesi ori periorbitali edema.
Rationalei 2:i Hungeri (polyphagia)i isi symptomatici ofi diabetesi mellitus.
Rationalei 3:i Polyuriai isi symptomatici ofi diabetesi mellitus.
Rationalei 4:i Hungeri (polyphagia)i isi symptomatici ofi diabetesi mellitus.
Globali Rationale:i Acutei proliferativei glomerulonephritisi isi characterizedi byi ani
abrupti onseti ofi hematuria,i proteinuria,i salti andi wateri retention,i andi evidencei ofi
azotemiai thati occursi 10i toi 14i daysi afteri thei initiali infection.i Salti andi wateri
retentioni increasei extracellulari fluidi volume,i whichi leadsi toi hypertensioni andi
edema.i Thei edemai isi primarilyi notedi ini thei face,i particularlyi aroundi thei eyesi ori
periorbitali edema.i Hungeri (polyphagia)i andi polyuriai arei symptomatici ofi diabetesi
mellitus.
Thei nursei isi planningi thei carei ofi ai patienti withi chronici glomerulonephritis.i Whati
shouldi thei nursei identifyi asi beingi thei goali ofi treatmenti fori thisi patient?i
1.i maintainingi renali function
2.i achievingi maximumi independence
3.i returningi toi worki asi sooni asi possible
4.i lifestylei changesi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Managementi ofi alli typesi ofi glomerulonephritis—acutei andi chronic,i
primaryi andi secondary—focusesi oni identifyingi thei underlyingi diseasei processi andi
preservingi kidneyi function.i Ini mosti glomerulari disorders,i therei isi noi specifici
treatmenti toi achievei ai cure.i Treatmenti goalsi arei toi maintaini renali function,i
preventi complicationsi andi supporti thei healingi process.
Rationalei 2:i Althoughi maintenancei ofi independencei mayi bei includedi ini thei plani
ofi care,i iti isi noti ai priority.
Rationalei 3:i Althoughi returningi toi worki mayi bei includedi ini thei plani ofi care,i iti
isi noti ai priority.
Rationalei 4:i Althoughi lifestylei adaptationi mayi bei includedi ini thei plani ofi care,i iti
isi noti ai priority.
Globali Rationale:i Managementi ofi alli typesi ofi glomerulonephritis—acutei andi
chronic,i primaryi andi secondary—focusesi oni identifyingi thei underlyingi diseasei
processi andi preservingi kidneyi function.i Ini mosti glomerulari disorders,i therei isi noi
2i |i P a g e
,specifici treatmenti toi achievei ai cure.i Treatmenti goalsi arei toi maintaini renali
function,i preventi complicationsi andi supporti thei healingi process.i Althoughi
maintenancei ofi independence,i returningi toi worki andi lifestylei adaptationi mayi bei
includedi ini thei plani ofi care,i theyi arei noti priorities.
Thei nursei isi caringi fori ai patienti withi chronici glomerulonephritis.i Whichi
interventioni shouldi thei nursei addi toi thisi patient'si plani ofi carei toi addressi excessi
bodyi fluid?i
1.i Weighi dailyi oni thei samei scale.
2.i Documenti energyi level.
3.i Schedulei activitiesi toi conservei energy.
4.i Assessi fori signsi ofi infection.i -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Toi addressi excessi bodyi fluid,i thei nursei shouldi addi dailyi weightsi
withi ai consistenti techniquei toi thei patient'si plani ofi care.i Accuratei dailyi weightsi
arei thei besti indicatori ofi approximatei fluidi balance.i
Rationalei 2:i Energyi leveli doesi noti addressi thei issuei ofi excessi bodyi fluid.
Rationalei 3:i Energyi leveli doesi noti addressi thei issuei ofi excessi bodyi fluid.
Rationalei 4:i Signsi ofi infectioni doi noti addressi thei issuei ofi excessi bodyi fluid.
Globali Rationale:i Toi addressi excessi bodyi fluid,i thei nursei shouldi addi dailyi
weightsi withi ai consistenti techniquei toi thei patient'si plani ofi care.i Accuratei dailyi
weightsi arei thei besti indicatori ofi approximatei fluidi balance.i Energyi leveli andi
signsi ofi infectioni doi noti addressi thei issuei ofi excessi bodyi fluid.
Ai patienti withi chronici kidneyi diseasei isi diagnosedi withi hypertension.i Thei nursei
realizesi thati thisi patient'si bloodi pressurei needsi toi bei controlledi because
1.i noti doingi soi increasesi thei riski ofi adversei effectsi oni thei kidneys.
2.i iti isi thei easiesti diagnosisi toi treat.
3.i medicationsi arei availablei toi treati thisi disorder.
4.i everyonei shouldi havei low-normali bloodi pressure.i -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Managementi ofi hypertensioni toi maintaini bloodi pressurei withini
normali limitsi thei riski ofi adversei effectsi oni thei kidneys.
Rationalei 2:i Hypertensioni isi noti alwaysi easilyi diagnosed.
Rationalei 3:i Justi becausei medicationsi arei availablei toi treati thei disorderi isi noti ai
rationalei fori whyi bloodi pressurei shouldi bei controlled.
Rationalei 4:i Thei ideai ofi everyonei havingi low-normali bloodi pressurei doesi noti
applyi toi thisi patienti becausei ofi thei newi diagnosisi andi historyi ofi chronici kidneyi
disease.
Globali Rationale:i Managementi ofi hypertensioni toi maintaini bloodi pressurei withini
normali limitsi thei riski ofi adversei effectsi oni thei kidneys.i Hypertensioni isi noti
alwaysi easilyi diagnosed.i Thei goali ofi havingi thisi patient'si bloodi pressurei underi
controli isi directlyi relatedi toi hisi chronici kidneyi disease.i Justi becausei medicationsi
arei availablei toi treati thei disorderi isi noti ai rationalei fori whyi bloodi pressurei
shouldi bei controlled.i Thei ideai ofi everyonei havingi low-normali bloodi pressurei
doesi noti applyi toi thisi patienti becausei ofi thei newi diagnosisi andi historyi ofi
chronici kidneyi disease.
3i |i P a g e
, Ai patienti whoi isi diagnosedi withi renali canceri states,i "Ii onlyi losti ai fewi pounds!i
Ii hadi noi otheri symptoms!"i Whati shouldi thei nursei realizei asi beingi thei onlyi
consistenti symptomi ofi renali cancer?i
1.i hematuria
2.i flanki pain
3.i nausea
4.i vomitingi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Renali tumorsi arei ofteni silenti andi havei fewi manifestations.i Thei
classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i andi palpablei
abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali celli carcinoma.i
Hematuria,i ofteni microscopic,i isi thei mosti consistenti symptom.
Rationalei 2:i Thei classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i
andi palpablei abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali
celli carcinoma.
Rationalei 3:i Nauseai isi noti ai frequenti symptomi ofi renali cancer.
Rationalei 4:i Vomitingi isi noti ai frequenti symptomi ofi renali cancer.
Globali Rationale:i Renali tumorsi arei ofteni silenti andi havei fewi manifestations.i Thei
classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i andi palpablei
abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali celli carcinoma.i
Hematuria,i ofteni microscopic,i isi thei mosti consistenti symptom.i Systemici
manifestationsi includei feveri withouti infection,i fatigue,i andi weighti loss.i Nauseai
andi vomitingi arei noti frequenti symptomsi ofi renali cancer.
Thei nursei isi teachingi ai patienti recoveringi fromi ai nephrectomyi fori kidneyi cancer.i
Whati shouldi thei nursei includei ini thisi teaching?
1.i earlyi recognitioni ofi ai urinaryi tracti infectioni (UTI)
2.i waysi toi limiti fluids
3.i promotingi high-impacti sportsi andi activities
4.i organi donori informationi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
measuresi toi preventi infection.
Rationalei 2:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
maintainingi ai fluidi intakei ofi 2000i toi 3000i mLi peri day.
Rationalei 3:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
avoidingi contacti sportsi suchi asi footballi ori hockey.
Rationalei 4:i Ai discussioni ofi organi donori informationi isi noti relevant.
Globali Rationale:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
measuresi toi preventi infection,i renali calculi,i hydronephrosisi andi trauma;i maintaini ai
fluidi intakei ofi 2000i toi 3000i mLi peri day,i andi increasei thei amounti duringi hoti
weatheri ori strenuousi exercise;i urinatei wheni thei urgei isi perceivedi andi beforei andi
afteri sexuali intercourse;i properlyi cleani thei perineali area;i manifestationsi ofi urinaryi
tracti infectioni (UTI),i andi thei importancei ofi earlyi andi appropriatei evaluationi andi
intervention;i manifestationsi ofi prostatici hypertrophy;i avoidi contacti sportsi suchi asi
footballi ori hockey;i andi measuresi toi preventi motori vehiclei accidentsi ori falls,i
4i |i P a g e
Ani olderi patienti isi admittedi toi thei hospitali withi cardiaci complicationsi associatedi
withi diabetes.i Whati shouldi bei ofi concerni toi thei nursei regardingi thisi patient'si
medications?
1.i thei typei andi amounti ofi medicationsi ini relationi toi thei patient'si renali function
2.i whetheri thei patienti isi takingi thei prescribedi dosages
3.i whati vitaminsi andi supplementsi thisi patienti isi taking
4.i thei costsi ofi thei patient'si medicationsi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Decreasedi glomerulari filtrationi ratei (GFR)i ini thei olderi adulti alsoi
reducesi thei clearancei ofi drugsi excretedi throughi thei kidneys.i Thisi reducedi
clearancei prolongsi thei half-lifei ofi drugsi andi mayi necessitatei loweri drugi dosesi
andi longeri dosingi intervals.i Commoni medicationsi affectedi byi decreasedi GFRi
includei cardiaci medicationsi andi anti-diabetici agents.i Assessingi thei patient'si
compliancei withi thei prescribedi dosei isi importanti ini anyi circumstancei buti isi noti
specifici toi thisi scenario.
Rationalei 2:i Assessingi thei patient'si compliancei withi thei prescribedi dosei isi
importanti ini anyi circumstancei buti isi noti specifici toi thisi scenario.
Rationalei 3:i Usei ofi vitamini supplementsi shouldi bei assessed,i buti isi noti specifici
toi thei situationi described.
Rationalei 4:i Thei nursei mighti suspecti noncompliancei ifi thei costi ofi medicationsi isi
ani issuei buti thisi isi noti ai priorityi otherwise.
Globali Rationale:i Decreasedi glomerulari filtrationi ratei (GFR)i ini thei olderi adulti
alsoi reducesi thei clearancei ofi drugsi excretedi throughi thei kidneys.i Thisi reducedi
clearancei prolongsi thei half-lifei ofi drugsi andi mayi necessitatei loweri drugi dosesi
andi longeri dosingi intervals.i Commoni medicationsi affectedi byi decreasedi GFRi
includei cardiaci medicationsi andi anti-diabetici agents.i Assessingi thei patient'si
compliancei withi thei prescribedi dosei isi importanti ini anyi circumstancei buti isi noti
specifici toi thisi scenario.i Usei ofi vitamini supplementsi shouldi bei assessed,i buti isi
noti specifici toi thei situationi described.i Thei nursei mighti suspecti noncompliancei ifi
thei costi ofi medicationsi isi ani issuei buti thisi isi noti ai priorityi otherwise.
Ai patienti isi diagnosedi withi hypertensioni causedi byi polycystici kidneyi disease.i
Whati mighti bei helpfuli toi controli thisi patient'si bloodi pressure?
1.i ACEi inhibitors
2.i kidneyi transplant
3.i dialysis
4.i peritoneali dialysisi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Hypertensioni associatedi withi polycystici diseasei isi generallyi controlledi
usingi angiotensin-convertingi enzymei (ACE)i inhibitorsi ori otheri antihypertensivei
agents.
Rationalei 2:i Renali transplanti isi indicatedi wheni kidneyi functioni cannoti controli thei
wastesi fromi metabolici processes.
Rationalei 3:i Dialysisi isi indicatedi wheni kidneyi functioni cannoti controli thei wastesi
fromi metabolici processes.
1i |i P a g e
,Rationalei 4:i Dialysisi isi indicatedi wheni kidneyi functioni cannoti controli thei wastesi
fromi metabolici processes.
Globali Rationale:i Hypertensioni associatedi withi polycystici diseasei isi generallyi
controlledi usingi angiotensin-convertingi enzymei (ACE)i inhibitorsi ori otheri
antihypertensivei agents.i Renali transplanti ori dialysisi isi indicatedi wheni kidneyi
functioni cannoti controli thei wastesi fromi metabolici processes.
Threei weeksi afteri beingi treatedi fori strepi throat,i ai patienti comesi intoi thei clinici
withi signsi ofi acutei glomerulonephritis.i Whati symptomi willi thei nursei mosti likelyi
findi uponi assessmenti ofi thisi patient?
1.i periorbitali edema
2.i hunger
3.i polyuria
4.i polyphagiai -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Salti andi wateri retentioni increasei extracellulari fluidi volume,i whichi
leadsi toi hypertensioni andi edema.i Thei edemai isi primarilyi notedi ini thei face,i
particularlyi aroundi thei eyesi ori periorbitali edema.
Rationalei 2:i Hungeri (polyphagia)i isi symptomatici ofi diabetesi mellitus.
Rationalei 3:i Polyuriai isi symptomatici ofi diabetesi mellitus.
Rationalei 4:i Hungeri (polyphagia)i isi symptomatici ofi diabetesi mellitus.
Globali Rationale:i Acutei proliferativei glomerulonephritisi isi characterizedi byi ani
abrupti onseti ofi hematuria,i proteinuria,i salti andi wateri retention,i andi evidencei ofi
azotemiai thati occursi 10i toi 14i daysi afteri thei initiali infection.i Salti andi wateri
retentioni increasei extracellulari fluidi volume,i whichi leadsi toi hypertensioni andi
edema.i Thei edemai isi primarilyi notedi ini thei face,i particularlyi aroundi thei eyesi ori
periorbitali edema.i Hungeri (polyphagia)i andi polyuriai arei symptomatici ofi diabetesi
mellitus.
Thei nursei isi planningi thei carei ofi ai patienti withi chronici glomerulonephritis.i Whati
shouldi thei nursei identifyi asi beingi thei goali ofi treatmenti fori thisi patient?i
1.i maintainingi renali function
2.i achievingi maximumi independence
3.i returningi toi worki asi sooni asi possible
4.i lifestylei changesi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Managementi ofi alli typesi ofi glomerulonephritis—acutei andi chronic,i
primaryi andi secondary—focusesi oni identifyingi thei underlyingi diseasei processi andi
preservingi kidneyi function.i Ini mosti glomerulari disorders,i therei isi noi specifici
treatmenti toi achievei ai cure.i Treatmenti goalsi arei toi maintaini renali function,i
preventi complicationsi andi supporti thei healingi process.
Rationalei 2:i Althoughi maintenancei ofi independencei mayi bei includedi ini thei plani
ofi care,i iti isi noti ai priority.
Rationalei 3:i Althoughi returningi toi worki mayi bei includedi ini thei plani ofi care,i iti
isi noti ai priority.
Rationalei 4:i Althoughi lifestylei adaptationi mayi bei includedi ini thei plani ofi care,i iti
isi noti ai priority.
Globali Rationale:i Managementi ofi alli typesi ofi glomerulonephritis—acutei andi
chronic,i primaryi andi secondary—focusesi oni identifyingi thei underlyingi diseasei
processi andi preservingi kidneyi function.i Ini mosti glomerulari disorders,i therei isi noi
2i |i P a g e
,specifici treatmenti toi achievei ai cure.i Treatmenti goalsi arei toi maintaini renali
function,i preventi complicationsi andi supporti thei healingi process.i Althoughi
maintenancei ofi independence,i returningi toi worki andi lifestylei adaptationi mayi bei
includedi ini thei plani ofi care,i theyi arei noti priorities.
Thei nursei isi caringi fori ai patienti withi chronici glomerulonephritis.i Whichi
interventioni shouldi thei nursei addi toi thisi patient'si plani ofi carei toi addressi excessi
bodyi fluid?i
1.i Weighi dailyi oni thei samei scale.
2.i Documenti energyi level.
3.i Schedulei activitiesi toi conservei energy.
4.i Assessi fori signsi ofi infection.i -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Toi addressi excessi bodyi fluid,i thei nursei shouldi addi dailyi weightsi
withi ai consistenti techniquei toi thei patient'si plani ofi care.i Accuratei dailyi weightsi
arei thei besti indicatori ofi approximatei fluidi balance.i
Rationalei 2:i Energyi leveli doesi noti addressi thei issuei ofi excessi bodyi fluid.
Rationalei 3:i Energyi leveli doesi noti addressi thei issuei ofi excessi bodyi fluid.
Rationalei 4:i Signsi ofi infectioni doi noti addressi thei issuei ofi excessi bodyi fluid.
Globali Rationale:i Toi addressi excessi bodyi fluid,i thei nursei shouldi addi dailyi
weightsi withi ai consistenti techniquei toi thei patient'si plani ofi care.i Accuratei dailyi
weightsi arei thei besti indicatori ofi approximatei fluidi balance.i Energyi leveli andi
signsi ofi infectioni doi noti addressi thei issuei ofi excessi bodyi fluid.
Ai patienti withi chronici kidneyi diseasei isi diagnosedi withi hypertension.i Thei nursei
realizesi thati thisi patient'si bloodi pressurei needsi toi bei controlledi because
1.i noti doingi soi increasesi thei riski ofi adversei effectsi oni thei kidneys.
2.i iti isi thei easiesti diagnosisi toi treat.
3.i medicationsi arei availablei toi treati thisi disorder.
4.i everyonei shouldi havei low-normali bloodi pressure.i -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Managementi ofi hypertensioni toi maintaini bloodi pressurei withini
normali limitsi thei riski ofi adversei effectsi oni thei kidneys.
Rationalei 2:i Hypertensioni isi noti alwaysi easilyi diagnosed.
Rationalei 3:i Justi becausei medicationsi arei availablei toi treati thei disorderi isi noti ai
rationalei fori whyi bloodi pressurei shouldi bei controlled.
Rationalei 4:i Thei ideai ofi everyonei havingi low-normali bloodi pressurei doesi noti
applyi toi thisi patienti becausei ofi thei newi diagnosisi andi historyi ofi chronici kidneyi
disease.
Globali Rationale:i Managementi ofi hypertensioni toi maintaini bloodi pressurei withini
normali limitsi thei riski ofi adversei effectsi oni thei kidneys.i Hypertensioni isi noti
alwaysi easilyi diagnosed.i Thei goali ofi havingi thisi patient'si bloodi pressurei underi
controli isi directlyi relatedi toi hisi chronici kidneyi disease.i Justi becausei medicationsi
arei availablei toi treati thei disorderi isi noti ai rationalei fori whyi bloodi pressurei
shouldi bei controlled.i Thei ideai ofi everyonei havingi low-normali bloodi pressurei
doesi noti applyi toi thisi patienti becausei ofi thei newi diagnosisi andi historyi ofi
chronici kidneyi disease.
3i |i P a g e
, Ai patienti whoi isi diagnosedi withi renali canceri states,i "Ii onlyi losti ai fewi pounds!i
Ii hadi noi otheri symptoms!"i Whati shouldi thei nursei realizei asi beingi thei onlyi
consistenti symptomi ofi renali cancer?i
1.i hematuria
2.i flanki pain
3.i nausea
4.i vomitingi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Renali tumorsi arei ofteni silenti andi havei fewi manifestations.i Thei
classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i andi palpablei
abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali celli carcinoma.i
Hematuria,i ofteni microscopic,i isi thei mosti consistenti symptom.
Rationalei 2:i Thei classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i
andi palpablei abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali
celli carcinoma.
Rationalei 3:i Nauseai isi noti ai frequenti symptomi ofi renali cancer.
Rationalei 4:i Vomitingi isi noti ai frequenti symptomi ofi renali cancer.
Globali Rationale:i Renali tumorsi arei ofteni silenti andi havei fewi manifestations.i Thei
classici triadi ofi symptoms,i whichi isi grossi hematuria,i flanki pain,i andi palpablei
abdominali mass,i isi seeni ini onlyi abouti 10%i ofi peoplei withi renali celli carcinoma.i
Hematuria,i ofteni microscopic,i isi thei mosti consistenti symptom.i Systemici
manifestationsi includei feveri withouti infection,i fatigue,i andi weighti loss.i Nauseai
andi vomitingi arei noti frequenti symptomsi ofi renali cancer.
Thei nursei isi teachingi ai patienti recoveringi fromi ai nephrectomyi fori kidneyi cancer.i
Whati shouldi thei nursei includei ini thisi teaching?
1.i earlyi recognitioni ofi ai urinaryi tracti infectioni (UTI)
2.i waysi toi limiti fluids
3.i promotingi high-impacti sportsi andi activities
4.i organi donori informationi -i
i i i i i i i i i i i i i i i Correcti Answer:i 1
Rationalei 1:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
measuresi toi preventi infection.
Rationalei 2:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
maintainingi ai fluidi intakei ofi 2000i toi 3000i mLi peri day.
Rationalei 3:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
avoidingi contacti sportsi suchi asi footballi ori hockey.
Rationalei 4:i Ai discussioni ofi organi donori informationi isi noti relevant.
Globali Rationale:i Ifi renali canceri wasi detectedi ati ani earlyi stagei andi curei isi
anticipated,i teachingi shouldi focusi oni protectingi thei remainingi kidney,i includingi
measuresi toi preventi infection,i renali calculi,i hydronephrosisi andi trauma;i maintaini ai
fluidi intakei ofi 2000i toi 3000i mLi peri day,i andi increasei thei amounti duringi hoti
weatheri ori strenuousi exercise;i urinatei wheni thei urgei isi perceivedi andi beforei andi
afteri sexuali intercourse;i properlyi cleani thei perineali area;i manifestationsi ofi urinaryi
tracti infectioni (UTI),i andi thei importancei ofi earlyi andi appropriatei evaluationi andi
intervention;i manifestationsi ofi prostatici hypertrophy;i avoidi contacti sportsi suchi asi
footballi ori hockey;i andi measuresi toi preventi motori vehiclei accidentsi ori falls,i
4i |i P a g e
