RN Alterations in Kidney Function and Elimination Assessment © cLose
Question:10f 30 | <> CORRECT Time Elapsed: 00:01:11 E
W] Fras
Anurse is caring for an 88-year-old client in a senior living center. After reviewing the client's electronic health record, determine which of the
following information would demonstrate that the client's condition has
Exhibit! Exhibit2 Exhibit3 Exhibitd Exhibit5 improved.
Select all that apply.
History
and Physical
3 weeks ago:
History:
Hypertension, rheumatoid arthritis, type 2 diabetes mellitus,
coronary artery disease, peripheral vascular disease, left hip
arthroplasty
Physical:
Alert and oriented x4, cooperative. Generalized weakness, uses
walker, gait steady. Respirations symmetrical and nonlabored,
lung sounds clear bilaterally. +2 pedal pulses, S1 & S2 present,
no murmur. Urine yellow and clear, incontinent. Denies pain. 4> CORRECT MyAnswer
Bowel sounds present x4, abdomen soft and nontender,
When evaluating outcomes, the nurse should identify the findings that indicate
improvement in the dlient's status or clinical manifestation to determine
effectiveness of the interventions. The outcomes of alert and oriented xd,
temperature 36.9° C (98.4° F), urine clear and yellow, denial of abdominal pain,
and absence of bacteria in the urine culture all indicate effectiveness of the
interventions.
CONTINUE
, ati
RN Alterations in Kidney Function and Elimination Assessment © cLosE
Question: 2 0f 30 | <> CORRECT ‘Time Elapsed: 00:05:02 E
Anurse is assessing a client with acute kidney injury and developing fluid For each potential provider's prescription, click to specifyif the potential
overload caused by long-term use of aminoglycosides. prescription is anticipated, nonessential, or contraindicated for the client.
tese s e es o0 e B tie e
Ehbit! Bcubit2 Exhibic3
Potential Prescription Anticipated Nonessential Contraindicated
History and Physical Fluid restriction of 1 ® O @)
Medical history: Type 2 diabetes mellitus, myocardial infarction, ~ Liday
h ypertension, ; osteoarthritis,
hritis, glaucoma,
gl , and
and hypothyroidi
hypothyroidism e
OO0
@O
O®
Normal saline at 75
mU/hr v
CT scan with contrast of
®@
O
O
kidneys
Oxygen per nasal ®
O
O
cannula at 2 L/min to
keep oxygen saturation
95% and above
Furosemide 40 mg IV
o ®
O O
Bladder scan for
®
residual urine after
every void
4> CORRECT My Answer
When generating solutions for a client who has acute kidney failure, the nurse
should anticipate provider prescriptions related to fluid and electrolyte balance
therapy including intravenous fluid replacement, fluid restriction, strict intake
and output, laboratory and other diagnostic tests, drug therapy, renal
replacement therapy, nutrition therapy, and other treatments related to the
altered renal and elimination alterations.
The prescriptions of fluid restriction and furosemide are both anticipated to
assist with the client's status of fluid overload. The prescription of oxygen
therapy is anticipated because it willimprove the oxygen saturation status of
the client. The prescription of a CT scan with contrast of the kidney is
contraindicated as the contrast dye is nephrotoxic and this diagnostic is not a
priority at this time. The neurology consult is nonessential as the client's
changes in orientation level is due to the fluid overload status. The bladder
scan ordered Is nonessential as the client is experiencing oliguria.
PREVIOUS CONTINUE
, )
y‘\é\%tl RN Alterations in Kidney Function and Elimination Assessment © cLose
Question: 3 of 30 Time Elapsed: 00:05:30 E
FLAG
Anurse s caring for a client with a history of benign prostatic hypertrophy who has been admitted for a urinary tract infection. A student nurse
‘asks what causes benign prostatic hypertrophy in men. The nurse should respond with which of the following statements?
B T R I I I S S
(© “itis an inherited disorder that causes fluid-filed cysts in the kidney
that continue to grow and multiply eventually leading to renal falure.”
“Itis caused by smooth muscle and epithelial cells multiplying at an uncontrolled rate within the transition zone."
@ "itis caused by infections such as streptococcal bacteria, bacterial endocarditis, viral kidney infections, and HIV and leads to inflammation from
antibodies to the bacteria build up in the glomeruli."
“Itis caused by plaque made of calcium in the interstitial tissue of the renal papilla which continues to grow, breaking through the membrane of
the renal pelvis into the urine."
PREVIOUS CONTINUE
Question:10f 30 | <> CORRECT Time Elapsed: 00:01:11 E
W] Fras
Anurse is caring for an 88-year-old client in a senior living center. After reviewing the client's electronic health record, determine which of the
following information would demonstrate that the client's condition has
Exhibit! Exhibit2 Exhibit3 Exhibitd Exhibit5 improved.
Select all that apply.
History
and Physical
3 weeks ago:
History:
Hypertension, rheumatoid arthritis, type 2 diabetes mellitus,
coronary artery disease, peripheral vascular disease, left hip
arthroplasty
Physical:
Alert and oriented x4, cooperative. Generalized weakness, uses
walker, gait steady. Respirations symmetrical and nonlabored,
lung sounds clear bilaterally. +2 pedal pulses, S1 & S2 present,
no murmur. Urine yellow and clear, incontinent. Denies pain. 4> CORRECT MyAnswer
Bowel sounds present x4, abdomen soft and nontender,
When evaluating outcomes, the nurse should identify the findings that indicate
improvement in the dlient's status or clinical manifestation to determine
effectiveness of the interventions. The outcomes of alert and oriented xd,
temperature 36.9° C (98.4° F), urine clear and yellow, denial of abdominal pain,
and absence of bacteria in the urine culture all indicate effectiveness of the
interventions.
CONTINUE
, ati
RN Alterations in Kidney Function and Elimination Assessment © cLosE
Question: 2 0f 30 | <> CORRECT ‘Time Elapsed: 00:05:02 E
Anurse is assessing a client with acute kidney injury and developing fluid For each potential provider's prescription, click to specifyif the potential
overload caused by long-term use of aminoglycosides. prescription is anticipated, nonessential, or contraindicated for the client.
tese s e es o0 e B tie e
Ehbit! Bcubit2 Exhibic3
Potential Prescription Anticipated Nonessential Contraindicated
History and Physical Fluid restriction of 1 ® O @)
Medical history: Type 2 diabetes mellitus, myocardial infarction, ~ Liday
h ypertension, ; osteoarthritis,
hritis, glaucoma,
gl , and
and hypothyroidi
hypothyroidism e
OO0
@O
O®
Normal saline at 75
mU/hr v
CT scan with contrast of
®@
O
O
kidneys
Oxygen per nasal ®
O
O
cannula at 2 L/min to
keep oxygen saturation
95% and above
Furosemide 40 mg IV
o ®
O O
Bladder scan for
®
residual urine after
every void
4> CORRECT My Answer
When generating solutions for a client who has acute kidney failure, the nurse
should anticipate provider prescriptions related to fluid and electrolyte balance
therapy including intravenous fluid replacement, fluid restriction, strict intake
and output, laboratory and other diagnostic tests, drug therapy, renal
replacement therapy, nutrition therapy, and other treatments related to the
altered renal and elimination alterations.
The prescriptions of fluid restriction and furosemide are both anticipated to
assist with the client's status of fluid overload. The prescription of oxygen
therapy is anticipated because it willimprove the oxygen saturation status of
the client. The prescription of a CT scan with contrast of the kidney is
contraindicated as the contrast dye is nephrotoxic and this diagnostic is not a
priority at this time. The neurology consult is nonessential as the client's
changes in orientation level is due to the fluid overload status. The bladder
scan ordered Is nonessential as the client is experiencing oliguria.
PREVIOUS CONTINUE
, )
y‘\é\%tl RN Alterations in Kidney Function and Elimination Assessment © cLose
Question: 3 of 30 Time Elapsed: 00:05:30 E
FLAG
Anurse s caring for a client with a history of benign prostatic hypertrophy who has been admitted for a urinary tract infection. A student nurse
‘asks what causes benign prostatic hypertrophy in men. The nurse should respond with which of the following statements?
B T R I I I S S
(© “itis an inherited disorder that causes fluid-filed cysts in the kidney
that continue to grow and multiply eventually leading to renal falure.”
“Itis caused by smooth muscle and epithelial cells multiplying at an uncontrolled rate within the transition zone."
@ "itis caused by infections such as streptococcal bacteria, bacterial endocarditis, viral kidney infections, and HIV and leads to inflammation from
antibodies to the bacteria build up in the glomeruli."
“Itis caused by plaque made of calcium in the interstitial tissue of the renal papilla which continues to grow, breaking through the membrane of
the renal pelvis into the urine."
PREVIOUS CONTINUE
