Exam 3 Prep Flashcards

1
Q

Which patient below is NOT at risk for developing chronic kidney disease?

A

A 45-year-old female with polycystic ovarian disease.

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2
Q

A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?

A

Anemia

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3
Q

A 55 year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

A

Pre-renal

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4
Q

A patient with AKI has a urinary output of 350 mL/day. In addition, morning labs showed an increased BUN and creatinine level along with potassium level of 6 mEq/L. What type of diet ordered by the physician is most appropriate for this patient?

A

Low-protein, low-potassium, low phosphorus and low-sodium

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5
Q

A client develops left-sided heart failure. An appropriate nursing diagnosis is?

A

Ineffective airway clearance

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6
Q

Grave’s disease is a result of:

A

Autoantibodies binding to thyroid-stimulating hormone (TSH)-receptor sites

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7
Q

Which disorders are considered autoimmune? (Select all that apply.)

A

Crohn’s disease
Systemic lupus erythematosus
Celiac disease
Noninsulin-dependent diabetes

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8
Q

A 7-year-old boy has been diagnosed with juvenile idiopathic arthritis (JIA), and his parents are anxious to know how his health problem will affect his short-term and longer-term future. What can his health care provider most accurately tell the family?

A

“With appropriate use of anti-inflammatory drugs along with lifestyle modifications, your son stands a good chance of leading a normal life.”

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9
Q

The nurse is teaching a class about the joints commonly affected by osteoarthritis​ (OA). Which joints should the nurse​ include?

A

Hands, knees, and hips

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10
Q

A nurse is providing a program for older men in a senior community center about measures that can be taken to reduce the risk for prostate cancer. Which of the following would the nurse include in the program?

A

Decrease red meat and fat intake

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11
Q

To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH), the nurse will ask the patient about:

A

Occurrence of a weak urinary stream

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12
Q

The nurse is caring for a client with pheochromocytoma. Which of the following must be included in planning the nursing care for this client ?

A

Monitor blood pressure frequently, assessing for hypertension

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13
Q

Which of the following nursing implications is most important in a client being medicated for Addison’s disease?

A

Instruct the client to never abruptly discontinue the medication

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14
Q

A 60-year-old man has been diagnosed with renal calculi after repeated episodes of excruciating flank pain in recent weeks. The man states that, “I don’t know how this could happen to me, since I’m so careful about eating a healthy diet.” What is the most appropriate response to the man’s statement?

A

“What you eat can influence your risk of stone formation, but many other factors like your gender and your activity level are involved.”

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15
Q

Which of the following pain descriptions would lead the nurse to suspect the client is experiencing renal/ureteral colic?

A

Excruciating pain in the flank and upper outer quadrant of the abdomen that radiates to the bladder area

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16
Q

A client develops right sided heart failure. Which of the following s/s would the nurse expect to find?

A

Edematous legs and ankles

17
Q

The nurse is evaluating the respiratory outcomes for the client with Guillain-Barré syndrome. The nurse would evaluate that which of the following is the least optimal outcome for the client?

A

Adventitious breath sounds

18
Q

The client has been diagnosed to have ALS (amyotrophic lateral sclerosis). Which of the following manifestations characterize the disease? (Select all that apply)

A

Muscle weakness
Muscle atrophy
Fatigue
Respiratory difficulty

19
Q

A patient with diabetes mellitus is seen in the clinic for acute sinusitis. The patient is taught this infection will have which effect on his insulin needs?

A

It will increase the need for insulin because of the increased secretion of cortisol.

20
Q

The nurse is giving discharge instructions regarding glycosylated hemoglobin (HbA1c) to a patient with diabetes mellitus. The nurse knows that the patient understands the instructions if he states:

A

“HbA1c level is done to monitor long term control of my blood sugar level.”

HEMOGLOBIN A1C is like a report card telling you 2 things: how effective is the treatment plan // it tells you if the pt has been following their diet and prescriptions