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Exam 4: Chronic Kidney Top Level A+.
An ESRD patient receiving HD is considering asking a relative to donate a kidney for 
transplantation. In assisting the patient to make a decision about treatment, the nurse 
informs the patient that 
a. successful transplantation usually provides a better quality of life than that offered by 
dialysis 
b. if rejection of the transplanted kidney occurs, no further treatment for the renal failure 
is available 
c. HD replaces the normal function of the kidneys, and patients do not have to live wi...
- Exam (elaborations)
- • 17 pages •
An ESRD patient receiving HD is considering asking a relative to donate a kidney for 
transplantation. In assisting the patient to make a decision about treatment, the nurse 
informs the patient that 
a. successful transplantation usually provides a better quality of life than that offered by 
dialysis 
b. if rejection of the transplanted kidney occurs, no further treatment for the renal failure 
is available 
c. HD replaces the normal function of the kidneys, and patients do not have to live wi...
Exam 4: Acute Kidney First Rate A+.
c 
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum 
electrolyte imbalances? 
a. hyperkalemia and hyponatremia 
b. hyperkalemia and hypernatremia 
c. hypokalemia and hyponatremia 
d. hypokalemia and hypernatremia 
b 
The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3 
weeks ago. During the oliguric phase of acute kidney disease, which action would be 
appropriate to include in the plan of care? 
a. Provide foods high in potassium....
- Exam (elaborations)
- • 9 pages •
c 
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum 
electrolyte imbalances? 
a. hyperkalemia and hyponatremia 
b. hyperkalemia and hypernatremia 
c. hypokalemia and hyponatremia 
d. hypokalemia and hypernatremia 
b 
The nurse is caring for a 68-yr-old man who had coronary artery bypass surgery 3 
weeks ago. During the oliguric phase of acute kidney disease, which action would be 
appropriate to include in the plan of care? 
a. Provide foods high in potassium....
Lewis chapter 45 Best Range A+.
DIF: Cognitive Level: Apply (application) REF: 1056 
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological 
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next 
action should be to 
a. send a urine specimen to the laboratory to test for ketones. 
b. obtain a clean-catch urine for culture and sensitivity testing. 
c. inquire about which medications the patient is currently taking. 
d. ask the patient about any family history of chronic renal failure. ...
- Exam (elaborations)
- • 31 pages •
DIF: Cognitive Level: Apply (application) REF: 1056 
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological 
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next 
action should be to 
a. send a urine specimen to the laboratory to test for ketones. 
b. obtain a clean-catch urine for culture and sensitivity testing. 
c. inquire about which medications the patient is currently taking. 
d. ask the patient about any family history of chronic renal failure. ...
Lewis chapter 45 Best Range A.
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next 
action should be to 
a. send a urine specimen to the laboratory to test for ketones. 
b. obtain a clean-catch urine for culture and sensitivity testing. 
c. inquire about which medications the patient is currently taking. 
d. ask the patient about any family history of chronic renal failure. 
ANS: C 
Normally the urinalysis will show zero to trace amounts of protein, but some 
medications may give false...
- Exam (elaborations)
- • 30 pages •
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next 
action should be to 
a. send a urine specimen to the laboratory to test for ketones. 
b. obtain a clean-catch urine for culture and sensitivity testing. 
c. inquire about which medications the patient is currently taking. 
d. ask the patient about any family history of chronic renal failure. 
ANS: C 
Normally the urinalysis will show zero to trace amounts of protein, but some 
medications may give false...
Lewis Med Surg Full Solution.
As a component of the head-to-toe assessment of a patient who has been recently 
transferred to the clinical unit, the nurse is preparing to palpate the patient's kidneys. 
How should the nurse position the patient for this assessment? 
A. Prone 
B. Supine 
C. Seated at the edge of the bed 
D. Standing, facing away from the nurse 
B. Supine 
To palpate the right kidney, the patient is positioned supine, and the nurse's left hand is 
placed behind and supports the patient's right side between ...
- Exam (elaborations)
- • 10 pages •
As a component of the head-to-toe assessment of a patient who has been recently 
transferred to the clinical unit, the nurse is preparing to palpate the patient's kidneys. 
How should the nurse position the patient for this assessment? 
A. Prone 
B. Supine 
C. Seated at the edge of the bed 
D. Standing, facing away from the nurse 
B. Supine 
To palpate the right kidney, the patient is positioned supine, and the nurse's left hand is 
placed behind and supports the patient's right side between ...
Maria Leik All In One Solution.
Product of creatine metabolism, primarily from muscle so falsely decreased in people with low 
muscle volume (elderly) 
What raises serum creatinine? 
-A decrease in renal function such as renal failure or damage, nephrotoxic drugs 
Which individuals may have higher serum creatinine levels without renal disease? 
Individuals males and individuals with more muscle mass such as African Americans 
What is creatinine clearance (24-hr urine) used for? 
Detect proteinuria, albuminuria and microalbumin...
- Exam (elaborations)
- • 227 pages •
Product of creatine metabolism, primarily from muscle so falsely decreased in people with low 
muscle volume (elderly) 
What raises serum creatinine? 
-A decrease in renal function such as renal failure or damage, nephrotoxic drugs 
Which individuals may have higher serum creatinine levels without renal disease? 
Individuals males and individuals with more muscle mass such as African Americans 
What is creatinine clearance (24-hr urine) used for? 
Detect proteinuria, albuminuria and microalbumin...
Renal Failure Top Quality Solution.
Review A&P 
Acute Renal Failure 
(ARF) 
Sudden interruption of kidney 
function 
Results in retention of toxins, 
fluids, and end products of 
metabolism 
Usually reversible 
May progress to end stage 
renal disease 
Persons at Risks 
◦ Major surgery 
◦ Major trauma 
◦ Receiving nephrotoxic medications
- Exam (elaborations)
- • 5 pages •
Review A&P 
Acute Renal Failure 
(ARF) 
Sudden interruption of kidney 
function 
Results in retention of toxins, 
fluids, and end products of 
metabolism 
Usually reversible 
May progress to end stage 
renal disease 
Persons at Risks 
◦ Major surgery 
◦ Major trauma 
◦ Receiving nephrotoxic medications
AANP AGPCNP TOP CLASS SOLUTION.
Which of the following pharmacotherapeutics would be most important to administer to 
a patient who has a corneal abrasion? 
1) Timolol 
2) Gentamicin ophthalmic 
3) Cromolyn optha 
4) Olopatadine 
2) Gentamicin ophthalmic (Genoptic) 
A 25-year-old presents with the chief complaint of decreased mobility and pain of the 
right shoulder exacerbated by movement. The patient reports that he participated in 
extensive house painting 24 hours prior to the onset of pain. He denies any trauma. 
Passive ...
- Exam (elaborations)
- • 15 pages •
Which of the following pharmacotherapeutics would be most important to administer to 
a patient who has a corneal abrasion? 
1) Timolol 
2) Gentamicin ophthalmic 
3) Cromolyn optha 
4) Olopatadine 
2) Gentamicin ophthalmic (Genoptic) 
A 25-year-old presents with the chief complaint of decreased mobility and pain of the 
right shoulder exacerbated by movement. The patient reports that he participated in 
extensive house painting 24 hours prior to the onset of pain. He denies any trauma. 
Passive ...
Adult Gerontology Top Score A.
Which of the following refractive errors in vision is a result of the natural loss of accommodative 
capacity with age? 
A. Presbyopia 
B. Hyperopia 
C. Myopia 
D. Astigmatism 
Answer: A 
Painless, white, slightly raised patches in client's mouth are probably caused by candidiasis 
(thrush). Aphthous ulcers (canker sores) are extremely painful. Herpes simplex (a viral 
infection), canker sores, and cancerous lesions are usually discrete and not spread over a large 
area. 
Alexandra, age 34, was...
- Exam (elaborations)
- • 36 pages •
Which of the following refractive errors in vision is a result of the natural loss of accommodative 
capacity with age? 
A. Presbyopia 
B. Hyperopia 
C. Myopia 
D. Astigmatism 
Answer: A 
Painless, white, slightly raised patches in client's mouth are probably caused by candidiasis 
(thrush). Aphthous ulcers (canker sores) are extremely painful. Herpes simplex (a viral 
infection), canker sores, and cancerous lesions are usually discrete and not spread over a large 
area. 
Alexandra, age 34, was...
Adult Gerontology - Highest Score A+.
septic bursitis. 
When a provider elicits a painful Finkelstein's sign, he or she is testing for 
A. carpal tunnel syndrome. 
B. bursitis of the shoulder. 
C. de Quervain's tenosynovitis. 
D. tennis elbow 
Answer: C 
Pain elicited when the Finkelstein's test is performed indicates de Quervain's 
tenosynovitis at the base of the thumb. The test is performed by flexion of the thumb 
across the palm, with ulnar deviation of the wrist. Gliding the infl amed tendons will 
produce pain, which is c...
- Exam (elaborations)
- • 18 pages •
septic bursitis. 
When a provider elicits a painful Finkelstein's sign, he or she is testing for 
A. carpal tunnel syndrome. 
B. bursitis of the shoulder. 
C. de Quervain's tenosynovitis. 
D. tennis elbow 
Answer: C 
Pain elicited when the Finkelstein's test is performed indicates de Quervain's 
tenosynovitis at the base of the thumb. The test is performed by flexion of the thumb 
across the palm, with ulnar deviation of the wrist. Gliding the infl amed tendons will 
produce pain, which is c...
Pre-MPJE Exceptional Academic Excellence.
Good work
APEX EKG Test Perfect Your Scoring.