Guz NCLEX
Anz olderz patientz isz admittedz toz thez hospitalz withz cardiacz complicationsz
associatedz withz diabetes.z Whatz shouldz bez ofz concernz toz thez nursez regardingz
thisz patient'sz medications?
1.z thez typez andz amountz ofz medicationsz inz relationz toz thez patient'sz renalz
function
2.z whetherz thez patientz isz takingz thez prescribedz dosages
3.z whatz vitaminsz andz supplementsz thisz patientz isz taking
4.z thez costsz ofz thez patient'sz medicationsz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Decreasedz glomerularz filtrationz ratez (GFR)z inz thez olderz adultz alsoz
reducesz thez clearancez ofz drugsz excretedz throughz thez kidneys.z Thisz reducedz
clearancez prolongsz thez half-lifez ofz drugsz andz mayz necessitatez lowerz drugz
dosesz andz longerz dosingz intervals.z Commonz medicationsz affectedz byz decreasedz
GFRz includez cardiacz medicationsz andz anti-diabeticz agents.z Assessingz thez
patient'sz compliancez withz thez prescribedz dosez isz importantz inz anyz circumstancez
butz isz notz specificz toz thisz scenario.
Rationalez 2:z Assessingz thez patient'sz compliancez withz thez prescribedz dosez isz
importantz inz anyz circumstancez butz isz notz specificz toz thisz scenario.
Rationalez 3:z Usez ofz vitaminz supplementsz shouldz bez assessed,z butz isz notz
specificz toz thez situationz described.
Rationalez 4:z Thez nursez mightz suspectz noncompliancez ifz thez costz ofz
medicationsz isz anz issuez butz thisz isz notz az priorityz otherwise.
Globalz Rationale:z Decreasedz glomerularz filtrationz ratez (GFR)z inz thez olderz adultz
alsoz reducesz thez clearancez ofz drugsz excretedz throughz thez kidneys.z Thisz
reducedz clearancez prolongsz thez half-lifez ofz drugsz andz mayz necessitatez lowerz
drugz dosesz andz longerz dosingz intervals.z Commonz medicationsz affectedz byz
decreasedz GFRz includez cardiacz medicationsz andz anti-diabeticz agents.z Assessingz
thez patient'sz compliancez withz thez prescribedz dosez isz importantz inz anyz
circumstancez butz isz notz specificz toz thisz scenario.z Usez ofz vitaminz supplementsz
shouldz bez assessed,z butz isz notz specificz toz thez situationz described.z Thez nursez
mightz suspectz noncompliancez ifz thez costz ofz medicationsz isz anz issuez butz thisz
isz notz az priorityz otherwise.
Az patientz isz diagnosedz withz hypertensionz causedz byz polycysticz kidneyz disease.z
Whatz mightz bez helpfulz toz controlz thisz patient'sz bloodz pressure?
1.z ACEz inhibitors
2.z kidneyz transplant
3.z dialysis
4.z peritonealz dialysisz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Hypertensionz associatedz withz polycysticz diseasez isz generallyz
controlledz usingz angiotensin-convertingz enzymez (ACE)z inhibitorsz orz otherz
antihypertensivez agents.
Rationalez 2:z Renalz transplantz isz indicatedz whenz kidneyz functionz cannotz controlz
thez wastesz fromz metabolicz processes.
1z |z P a g e
,Rationalez 3:z Dialysisz isz indicatedz whenz kidneyz functionz cannotz controlz thez
wastesz fromz metabolicz processes.
Rationalez 4:z Dialysisz isz indicatedz whenz kidneyz functionz cannotz controlz thez
wastesz fromz metabolicz processes.
Globalz Rationale:z Hypertensionz associatedz withz polycysticz diseasez isz generallyz
controlledz usingz angiotensin-convertingz enzymez (ACE)z inhibitorsz orz otherz
antihypertensivez agents.z Renalz transplantz orz dialysisz isz indicatedz whenz kidneyz
functionz cannotz controlz thez wastesz fromz metabolicz processes.
Threez weeksz afterz beingz treatedz forz strepz throat,z az patientz comesz intoz thez
clinicz withz signsz ofz acutez glomerulonephritis.z Whatz symptomz willz thez nursez
mostz likelyz findz uponz assessmentz ofz thisz patient?
1.z periorbitalz edema
2.z hunger
3.z polyuria
4.z polyphagiaz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Saltz andz waterz retentionz increasez extracellularz fluidz volume,z whichz
leadsz toz hypertensionz andz edema.z Thez edemaz isz primarilyz notedz inz thez face,z
particularlyz aroundz thez eyesz orz periorbitalz edema.
Rationalez 2:z Hungerz (polyphagia)z isz symptomaticz ofz diabetesz mellitus.
Rationalez 3:z Polyuriaz isz symptomaticz ofz diabetesz mellitus.
Rationalez 4:z Hungerz (polyphagia)z isz symptomaticz ofz diabetesz mellitus.
Globalz Rationale:z Acutez proliferativez glomerulonephritisz isz characterizedz byz anz
abruptz onsetz ofz hematuria,z proteinuria,z saltz andz waterz retention,z andz evidencez
ofz azotemiaz thatz occursz 10z toz 14z daysz afterz thez initialz infection.z Saltz andz
waterz retentionz increasez extracellularz fluidz volume,z whichz leadsz toz hypertensionz
andz edema.z Thez edemaz isz primarilyz notedz inz thez face,z particularlyz aroundz thez
eyesz orz periorbitalz edema.z Hungerz (polyphagia)z andz polyuriaz arez symptomaticz
ofz diabetesz mellitus.
Thez nursez isz planningz thez carez ofz az patientz withz chronicz glomerulonephritis.z
Whatz shouldz thez nursez identifyz asz beingz thez goalz ofz treatmentz forz thisz
patient?z
1.z maintainingz renalz function
2.z achievingz maximumz independence
3.z returningz toz workz asz soonz asz possible
4.z lifestylez changesz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Managementz ofz allz typesz ofz glomerulonephritis—acutez andz chronic,z
primaryz andz secondary—focusesz onz identifyingz thez underlyingz diseasez processz
andz preservingz kidneyz function.z Inz mostz glomerularz disorders,z therez isz noz
specificz treatmentz toz achievez az cure.z Treatmentz goalsz arez toz maintainz renalz
function,z preventz complicationsz andz supportz thez healingz process.
Rationalez 2:z Althoughz maintenancez ofz independencez mayz bez includedz inz thez
planz ofz care,z itz isz notz az priority.
Rationalez 3:z Althoughz returningz toz workz mayz bez includedz inz thez planz ofz
care,z itz isz notz az priority.
Rationalez 4:z Althoughz lifestylez adaptationz mayz bez includedz inz thez planz ofz
care,z itz isz notz az priority.
2z |z P a g e
,Globalz Rationale:z Managementz ofz allz typesz ofz glomerulonephritis—acutez andz
chronic,z primaryz andz secondary—focusesz onz identifyingz thez underlyingz diseasez
processz andz preservingz kidneyz function.z Inz mostz glomerularz disorders,z therez isz
noz specificz treatmentz toz achievez az cure.z Treatmentz goalsz arez toz maintainz
renalz function,z preventz complicationsz andz supportz thez healingz process.z Althoughz
maintenancez ofz independence,z returningz toz workz andz lifestylez adaptationz mayz
bez includedz inz thez planz ofz care,z theyz arez notz priorities.
Thez nursez isz caringz forz az patientz withz chronicz glomerulonephritis.z Whichz
interventionz shouldz thez nursez addz toz thisz patient'sz planz ofz carez toz addressz
excessz bodyz fluid?z
1.z Weighz dailyz onz thez samez scale.
2.z Documentz energyz level.
3.z Schedulez activitiesz toz conservez energy.
4.z Assessz forz signsz ofz infection.z -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Toz addressz excessz bodyz fluid,z thez nursez shouldz addz dailyz
weightsz withz az consistentz techniquez toz thez patient'sz planz ofz care.z Accuratez
dailyz weightsz arez thez bestz indicatorz ofz approximatez fluidz balance.z
Rationalez 2:z Energyz levelz doesz notz addressz thez issuez ofz excessz bodyz fluid.
Rationalez 3:z Energyz levelz doesz notz addressz thez issuez ofz excessz bodyz fluid.
Rationalez 4:z Signsz ofz infectionz doz notz addressz thez issuez ofz excessz bodyz fluid.
Globalz Rationale:z Toz addressz excessz bodyz fluid,z thez nursez shouldz addz dailyz
weightsz withz az consistentz techniquez toz thez patient'sz planz ofz care.z Accuratez
dailyz weightsz arez thez bestz indicatorz ofz approximatez fluidz balance.z Energyz levelz
andz signsz ofz infectionz doz notz addressz thez issuez ofz excessz bodyz fluid.
Az patientz withz chronicz kidneyz diseasez isz diagnosedz withz hypertension.z Thez
nursez realizesz thatz thisz patient'sz bloodz pressurez needsz toz bez controlledz because
1.z notz doingz soz increasesz thez riskz ofz adversez effectsz onz thez kidneys.
2.z itz isz thez easiestz diagnosisz toz treat.
3.z medicationsz arez availablez toz treatz thisz disorder.
4.z everyonez shouldz havez low-normalz bloodz pressure.z -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Managementz ofz hypertensionz toz maintainz bloodz pressurez withinz
normalz limitsz thez riskz ofz adversez effectsz onz thez kidneys.
Rationalez 2:z Hypertensionz isz notz alwaysz easilyz diagnosed.
Rationalez 3:z Justz becausez medicationsz arez availablez toz treatz thez disorderz isz
notz az rationalez forz whyz bloodz pressurez shouldz bez controlled.
Rationalez 4:z Thez ideaz ofz everyonez havingz low-normalz bloodz pressurez doesz notz
applyz toz thisz patientz becausez ofz thez newz diagnosisz andz historyz ofz chronicz
kidneyz disease.
Globalz Rationale:z Managementz ofz hypertensionz toz maintainz bloodz pressurez
withinz normalz limitsz thez riskz ofz adversez effectsz onz thez kidneys.z Hypertensionz
isz notz alwaysz easilyz diagnosed.z Thez goalz ofz havingz thisz patient'sz bloodz
pressurez underz controlz isz directlyz relatedz toz hisz chronicz kidneyz disease.z Justz
becausez medicationsz arez availablez toz treatz thez disorderz isz notz az rationalez forz
whyz bloodz pressurez shouldz bez controlled.z Thez ideaz ofz everyonez havingz low-
normalz bloodz pressurez doesz notz applyz toz thisz patientz becausez ofz thez newz
diagnosisz andz historyz ofz chronicz kidneyz disease.
3z |z P a g e
, Az patientz whoz isz diagnosedz withz renalz cancerz states,z "Iz onlyz lostz az fewz
pounds!z Iz hadz noz otherz symptoms!"z Whatz shouldz thez nursez realizez asz beingz
thez onlyz consistentz symptomz ofz renalz cancer?z
1.z hematuria
2.z flankz pain
3.z nausea
4.z vomitingz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Renalz tumorsz arez oftenz silentz andz havez fewz manifestations.z Thez
classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz pain,z andz palpablez
abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez withz renalz cellz
carcinoma.z Hematuria,z oftenz microscopic,z isz thez mostz consistentz symptom.
Rationalez 2:z Thez classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz
pain,z andz palpablez abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez
withz renalz cellz carcinoma.
Rationalez 3:z Nauseaz isz notz az frequentz symptomz ofz renalz cancer.
Rationalez 4:z Vomitingz isz notz az frequentz symptomz ofz renalz cancer.
Globalz Rationale:z Renalz tumorsz arez oftenz silentz andz havez fewz manifestations.z
Thez classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz pain,z andz
palpablez abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez withz renalz
cellz carcinoma.z Hematuria,z oftenz microscopic,z isz thez mostz consistentz symptom.z
Systemicz manifestationsz includez feverz withoutz infection,z fatigue,z andz weightz
loss.z Nauseaz andz vomitingz arez notz frequentz symptomsz ofz renalz cancer.
Thez nursez isz teachingz az patientz recoveringz fromz az nephrectomyz forz kidneyz
cancer.z Whatz shouldz thez nursez includez inz thisz teaching?
1.z earlyz recognitionz ofz az urinaryz tractz infectionz (UTI)
2.z waysz toz limitz fluids
3.z promotingz high-impactz sportsz andz activities
4.z organz donorz informationz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
measuresz toz preventz infection.
Rationalez 2:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
maintainingz az fluidz intakez ofz 2000z toz 3000z mLz perz day.
Rationalez 3:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
avoidingz contactz sportsz suchz asz footballz orz hockey.
Rationalez 4:z Az discussionz ofz organz donorz informationz isz notz relevant.
Globalz Rationale:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
measuresz toz preventz infection,z renalz calculi,z hydronephrosisz andz trauma;z
maintainz az fluidz intakez ofz 2000z toz 3000z mLz perz day,z andz increasez thez
amountz duringz hotz weatherz orz strenuousz exercise;z urinatez whenz thez urgez isz
perceivedz andz beforez andz afterz sexualz intercourse;z properlyz cleanz thez perinealz
area;z manifestationsz ofz urinaryz tractz infectionz (UTI),z andz thez importancez ofz
earlyz andz appropriatez evaluationz andz intervention;z manifestationsz ofz prostaticz
4z |z P a g e
Anz olderz patientz isz admittedz toz thez hospitalz withz cardiacz complicationsz
associatedz withz diabetes.z Whatz shouldz bez ofz concernz toz thez nursez regardingz
thisz patient'sz medications?
1.z thez typez andz amountz ofz medicationsz inz relationz toz thez patient'sz renalz
function
2.z whetherz thez patientz isz takingz thez prescribedz dosages
3.z whatz vitaminsz andz supplementsz thisz patientz isz taking
4.z thez costsz ofz thez patient'sz medicationsz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Decreasedz glomerularz filtrationz ratez (GFR)z inz thez olderz adultz alsoz
reducesz thez clearancez ofz drugsz excretedz throughz thez kidneys.z Thisz reducedz
clearancez prolongsz thez half-lifez ofz drugsz andz mayz necessitatez lowerz drugz
dosesz andz longerz dosingz intervals.z Commonz medicationsz affectedz byz decreasedz
GFRz includez cardiacz medicationsz andz anti-diabeticz agents.z Assessingz thez
patient'sz compliancez withz thez prescribedz dosez isz importantz inz anyz circumstancez
butz isz notz specificz toz thisz scenario.
Rationalez 2:z Assessingz thez patient'sz compliancez withz thez prescribedz dosez isz
importantz inz anyz circumstancez butz isz notz specificz toz thisz scenario.
Rationalez 3:z Usez ofz vitaminz supplementsz shouldz bez assessed,z butz isz notz
specificz toz thez situationz described.
Rationalez 4:z Thez nursez mightz suspectz noncompliancez ifz thez costz ofz
medicationsz isz anz issuez butz thisz isz notz az priorityz otherwise.
Globalz Rationale:z Decreasedz glomerularz filtrationz ratez (GFR)z inz thez olderz adultz
alsoz reducesz thez clearancez ofz drugsz excretedz throughz thez kidneys.z Thisz
reducedz clearancez prolongsz thez half-lifez ofz drugsz andz mayz necessitatez lowerz
drugz dosesz andz longerz dosingz intervals.z Commonz medicationsz affectedz byz
decreasedz GFRz includez cardiacz medicationsz andz anti-diabeticz agents.z Assessingz
thez patient'sz compliancez withz thez prescribedz dosez isz importantz inz anyz
circumstancez butz isz notz specificz toz thisz scenario.z Usez ofz vitaminz supplementsz
shouldz bez assessed,z butz isz notz specificz toz thez situationz described.z Thez nursez
mightz suspectz noncompliancez ifz thez costz ofz medicationsz isz anz issuez butz thisz
isz notz az priorityz otherwise.
Az patientz isz diagnosedz withz hypertensionz causedz byz polycysticz kidneyz disease.z
Whatz mightz bez helpfulz toz controlz thisz patient'sz bloodz pressure?
1.z ACEz inhibitors
2.z kidneyz transplant
3.z dialysis
4.z peritonealz dialysisz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Hypertensionz associatedz withz polycysticz diseasez isz generallyz
controlledz usingz angiotensin-convertingz enzymez (ACE)z inhibitorsz orz otherz
antihypertensivez agents.
Rationalez 2:z Renalz transplantz isz indicatedz whenz kidneyz functionz cannotz controlz
thez wastesz fromz metabolicz processes.
1z |z P a g e
,Rationalez 3:z Dialysisz isz indicatedz whenz kidneyz functionz cannotz controlz thez
wastesz fromz metabolicz processes.
Rationalez 4:z Dialysisz isz indicatedz whenz kidneyz functionz cannotz controlz thez
wastesz fromz metabolicz processes.
Globalz Rationale:z Hypertensionz associatedz withz polycysticz diseasez isz generallyz
controlledz usingz angiotensin-convertingz enzymez (ACE)z inhibitorsz orz otherz
antihypertensivez agents.z Renalz transplantz orz dialysisz isz indicatedz whenz kidneyz
functionz cannotz controlz thez wastesz fromz metabolicz processes.
Threez weeksz afterz beingz treatedz forz strepz throat,z az patientz comesz intoz thez
clinicz withz signsz ofz acutez glomerulonephritis.z Whatz symptomz willz thez nursez
mostz likelyz findz uponz assessmentz ofz thisz patient?
1.z periorbitalz edema
2.z hunger
3.z polyuria
4.z polyphagiaz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Saltz andz waterz retentionz increasez extracellularz fluidz volume,z whichz
leadsz toz hypertensionz andz edema.z Thez edemaz isz primarilyz notedz inz thez face,z
particularlyz aroundz thez eyesz orz periorbitalz edema.
Rationalez 2:z Hungerz (polyphagia)z isz symptomaticz ofz diabetesz mellitus.
Rationalez 3:z Polyuriaz isz symptomaticz ofz diabetesz mellitus.
Rationalez 4:z Hungerz (polyphagia)z isz symptomaticz ofz diabetesz mellitus.
Globalz Rationale:z Acutez proliferativez glomerulonephritisz isz characterizedz byz anz
abruptz onsetz ofz hematuria,z proteinuria,z saltz andz waterz retention,z andz evidencez
ofz azotemiaz thatz occursz 10z toz 14z daysz afterz thez initialz infection.z Saltz andz
waterz retentionz increasez extracellularz fluidz volume,z whichz leadsz toz hypertensionz
andz edema.z Thez edemaz isz primarilyz notedz inz thez face,z particularlyz aroundz thez
eyesz orz periorbitalz edema.z Hungerz (polyphagia)z andz polyuriaz arez symptomaticz
ofz diabetesz mellitus.
Thez nursez isz planningz thez carez ofz az patientz withz chronicz glomerulonephritis.z
Whatz shouldz thez nursez identifyz asz beingz thez goalz ofz treatmentz forz thisz
patient?z
1.z maintainingz renalz function
2.z achievingz maximumz independence
3.z returningz toz workz asz soonz asz possible
4.z lifestylez changesz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Managementz ofz allz typesz ofz glomerulonephritis—acutez andz chronic,z
primaryz andz secondary—focusesz onz identifyingz thez underlyingz diseasez processz
andz preservingz kidneyz function.z Inz mostz glomerularz disorders,z therez isz noz
specificz treatmentz toz achievez az cure.z Treatmentz goalsz arez toz maintainz renalz
function,z preventz complicationsz andz supportz thez healingz process.
Rationalez 2:z Althoughz maintenancez ofz independencez mayz bez includedz inz thez
planz ofz care,z itz isz notz az priority.
Rationalez 3:z Althoughz returningz toz workz mayz bez includedz inz thez planz ofz
care,z itz isz notz az priority.
Rationalez 4:z Althoughz lifestylez adaptationz mayz bez includedz inz thez planz ofz
care,z itz isz notz az priority.
2z |z P a g e
,Globalz Rationale:z Managementz ofz allz typesz ofz glomerulonephritis—acutez andz
chronic,z primaryz andz secondary—focusesz onz identifyingz thez underlyingz diseasez
processz andz preservingz kidneyz function.z Inz mostz glomerularz disorders,z therez isz
noz specificz treatmentz toz achievez az cure.z Treatmentz goalsz arez toz maintainz
renalz function,z preventz complicationsz andz supportz thez healingz process.z Althoughz
maintenancez ofz independence,z returningz toz workz andz lifestylez adaptationz mayz
bez includedz inz thez planz ofz care,z theyz arez notz priorities.
Thez nursez isz caringz forz az patientz withz chronicz glomerulonephritis.z Whichz
interventionz shouldz thez nursez addz toz thisz patient'sz planz ofz carez toz addressz
excessz bodyz fluid?z
1.z Weighz dailyz onz thez samez scale.
2.z Documentz energyz level.
3.z Schedulez activitiesz toz conservez energy.
4.z Assessz forz signsz ofz infection.z -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Toz addressz excessz bodyz fluid,z thez nursez shouldz addz dailyz
weightsz withz az consistentz techniquez toz thez patient'sz planz ofz care.z Accuratez
dailyz weightsz arez thez bestz indicatorz ofz approximatez fluidz balance.z
Rationalez 2:z Energyz levelz doesz notz addressz thez issuez ofz excessz bodyz fluid.
Rationalez 3:z Energyz levelz doesz notz addressz thez issuez ofz excessz bodyz fluid.
Rationalez 4:z Signsz ofz infectionz doz notz addressz thez issuez ofz excessz bodyz fluid.
Globalz Rationale:z Toz addressz excessz bodyz fluid,z thez nursez shouldz addz dailyz
weightsz withz az consistentz techniquez toz thez patient'sz planz ofz care.z Accuratez
dailyz weightsz arez thez bestz indicatorz ofz approximatez fluidz balance.z Energyz levelz
andz signsz ofz infectionz doz notz addressz thez issuez ofz excessz bodyz fluid.
Az patientz withz chronicz kidneyz diseasez isz diagnosedz withz hypertension.z Thez
nursez realizesz thatz thisz patient'sz bloodz pressurez needsz toz bez controlledz because
1.z notz doingz soz increasesz thez riskz ofz adversez effectsz onz thez kidneys.
2.z itz isz thez easiestz diagnosisz toz treat.
3.z medicationsz arez availablez toz treatz thisz disorder.
4.z everyonez shouldz havez low-normalz bloodz pressure.z -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Managementz ofz hypertensionz toz maintainz bloodz pressurez withinz
normalz limitsz thez riskz ofz adversez effectsz onz thez kidneys.
Rationalez 2:z Hypertensionz isz notz alwaysz easilyz diagnosed.
Rationalez 3:z Justz becausez medicationsz arez availablez toz treatz thez disorderz isz
notz az rationalez forz whyz bloodz pressurez shouldz bez controlled.
Rationalez 4:z Thez ideaz ofz everyonez havingz low-normalz bloodz pressurez doesz notz
applyz toz thisz patientz becausez ofz thez newz diagnosisz andz historyz ofz chronicz
kidneyz disease.
Globalz Rationale:z Managementz ofz hypertensionz toz maintainz bloodz pressurez
withinz normalz limitsz thez riskz ofz adversez effectsz onz thez kidneys.z Hypertensionz
isz notz alwaysz easilyz diagnosed.z Thez goalz ofz havingz thisz patient'sz bloodz
pressurez underz controlz isz directlyz relatedz toz hisz chronicz kidneyz disease.z Justz
becausez medicationsz arez availablez toz treatz thez disorderz isz notz az rationalez forz
whyz bloodz pressurez shouldz bez controlled.z Thez ideaz ofz everyonez havingz low-
normalz bloodz pressurez doesz notz applyz toz thisz patientz becausez ofz thez newz
diagnosisz andz historyz ofz chronicz kidneyz disease.
3z |z P a g e
, Az patientz whoz isz diagnosedz withz renalz cancerz states,z "Iz onlyz lostz az fewz
pounds!z Iz hadz noz otherz symptoms!"z Whatz shouldz thez nursez realizez asz beingz
thez onlyz consistentz symptomz ofz renalz cancer?z
1.z hematuria
2.z flankz pain
3.z nausea
4.z vomitingz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Renalz tumorsz arez oftenz silentz andz havez fewz manifestations.z Thez
classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz pain,z andz palpablez
abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez withz renalz cellz
carcinoma.z Hematuria,z oftenz microscopic,z isz thez mostz consistentz symptom.
Rationalez 2:z Thez classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz
pain,z andz palpablez abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez
withz renalz cellz carcinoma.
Rationalez 3:z Nauseaz isz notz az frequentz symptomz ofz renalz cancer.
Rationalez 4:z Vomitingz isz notz az frequentz symptomz ofz renalz cancer.
Globalz Rationale:z Renalz tumorsz arez oftenz silentz andz havez fewz manifestations.z
Thez classicz triadz ofz symptoms,z whichz isz grossz hematuria,z flankz pain,z andz
palpablez abdominalz mass,z isz seenz inz onlyz aboutz 10%z ofz peoplez withz renalz
cellz carcinoma.z Hematuria,z oftenz microscopic,z isz thez mostz consistentz symptom.z
Systemicz manifestationsz includez feverz withoutz infection,z fatigue,z andz weightz
loss.z Nauseaz andz vomitingz arez notz frequentz symptomsz ofz renalz cancer.
Thez nursez isz teachingz az patientz recoveringz fromz az nephrectomyz forz kidneyz
cancer.z Whatz shouldz thez nursez includez inz thisz teaching?
1.z earlyz recognitionz ofz az urinaryz tractz infectionz (UTI)
2.z waysz toz limitz fluids
3.z promotingz high-impactz sportsz andz activities
4.z organz donorz informationz -z
z z z z z z z z z z z z z z z Correctz Answer:z 1
Rationalez 1:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
measuresz toz preventz infection.
Rationalez 2:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
maintainingz az fluidz intakez ofz 2000z toz 3000z mLz perz day.
Rationalez 3:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
avoidingz contactz sportsz suchz asz footballz orz hockey.
Rationalez 4:z Az discussionz ofz organz donorz informationz isz notz relevant.
Globalz Rationale:z Ifz renalz cancerz wasz detectedz atz anz earlyz stagez andz curez isz
anticipated,z teachingz shouldz focusz onz protectingz thez remainingz kidney,z includingz
measuresz toz preventz infection,z renalz calculi,z hydronephrosisz andz trauma;z
maintainz az fluidz intakez ofz 2000z toz 3000z mLz perz day,z andz increasez thez
amountz duringz hotz weatherz orz strenuousz exercise;z urinatez whenz thez urgez isz
perceivedz andz beforez andz afterz sexualz intercourse;z properlyz cleanz thez perinealz
area;z manifestationsz ofz urinaryz tractz infectionz (UTI),z andz thez importancez ofz
earlyz andz appropriatez evaluationz andz intervention;z manifestationsz ofz prostaticz
4z |z P a g e
