quiz 3 Flashcards
Which of the following statements accurately describes prognosis following kidney transplantation?
A) One-year survival rate following kidney transplantation is > 90%.
B) Survival is improved with a cadaveric as opposed to a living donor transplant.
C) Most patients who undergo kidney transplant will require dialysis within one year.
D) Five-year survival rate following kidney transplantation is < 50%.
A) One-year survival rate following kidney transplantation is > 90%.
right based on quiz review
A physical therapist in the acute care setting is evaluating a 74-year-old male patient who was admitted with acute renal failure. The patient’s lab values, along with the normative ranges, are shown in the table. Which of the following complications is this patient MOST likely to experience during physical therapy.
A) Seizure
B) Dysrhythmia
C) Constipation
D) Hyporeflexia
B) Dysrhythmia
right based on quiz review
Which of the following descriptions of acute pyelonephritis is accurate?
A) The leading cause of renal cell carcinoma
B) An infection of the kidneys
C) The leading cause of end-stage renal disease
D) An infection of the bladder
B) An infection of the kidneys
right based on quiz review
Which of the following vital sign responses should a physical therapist MOST expect to observe in a patient who has undergone kidney transplantation?
A) Blunted HR response to exercise
B) Blunted BP response to exercise
C) Exaggerated HR response to exercise
D) Exaggerated BP response to exercise
A) Blunted HR response to exercise
D exaggerated BP response to exercise is right
right based on quiz review
But wrong based on notes renal pathologies lecture notes
A 45-year-old female patient in outpatient physical therapy reports new-onset urinary urgency and occasional incontinence that began one week ago. She additionally reports increased urinary frequency and pain with urination. Which of the following actions is BEST for the physical therapist to take?
A) Refer the patient to a physician for suspected urinary tract infection.
B) Treat the patient for suspected stress urinary incontinence.
C) Refer the patient to a physician for suspected bladder cancer.
D) Treat the patient for suspected urge urinary incontinence.
A) Refer the patient to a physician for suspected urinary tract infection.
right based on quiz review
A physical therapist working in a skilled nursing facility is treating a 65-year-old male patient who has renal cell carcinoma. This week, the patient has been reporting worsening right hip pain with no known origin. Which of the following conditions should the physical therapist be MOST concerned for?
A) Wilms tumor
B) Bony metastasis
C) Avascular necrosis
D) Spinal cord metastasis
B) Bony metastasis
right based on quiz review
Which of the following conditions is NOT a primary cause of chronic kidney disease?
A) Glomerulonephritis
B) Diabetes mellitus
C) Dyslipidemia
D) Hypertension
C) Dyslipidemia
right based on quiz review
A 23-year-old female athlete is being seen in physical therapy for a shoulder injury. She confides to the physical therapist that she occasionally leaks urine when jumping or performing other high-impact maneuvers. She denies dysuria, hematuria, and increased urinary frequency. Which of the following conditions is MOST likely?
A) Renal cell carcinoma
B) Stress urinary incontinence
C) Urinary tract infection
D) Urge urinary incontinence
B) Stress urinary incontinence
right based on quiz review
explanation given
A) Renal cell carcinoma: A type of kidney cancer that originates in the lining of the small tubes in the kidney.
B) Stress urinary incontinence: The involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising.
C) Urinary tract infection (UTI): An infection in any part of the urinary system, including the bladder, urethra, or kidneys.
D) Urge urinary incontinence: The sudden and intense urge to urinate, often leading to involuntary leakage, typically associated with overactive bladder.
During a physical therapy evaluation for low back pain, a 70-year-old male patient reports that he noticed some blood in his urine last week. Urination is not painful, and he has not noticed it since then. He has also been having increasing urinary frequency, which he attributes to “getting old.” Which of the following actions is BEST for the physical therapist to take?
A) Refer the patient to his physician for evaluation of hematuria.
B) Begin treatment for urinary urge suppression.
C) Continue evaluation for low back pain.
D) Begin treatment to strengthen the pelvic floor muscles.
A) Refer the patient to his physician for evaluation of hematuria.
right based on quiz review
A 79-year-old female patient is being seen in outpatient physical therapy for general debility. After seeing her physician, she tells the physical therapist that she has just been diagnosed with stage III chronic kidney disease (CKD). Which of the following modifications to the patient’s plan of care is BEST for the physical therapist to make?
A) Educate the patient on the future need for kidney transplantation.
B) Discontinue PT, as debility should resolve with medical management of CKD.
C) Increase current aerobic and resistance training to vigorous intensity.
D) Educate the patient on fall risk management techniques.
D) Educate the patient on fall risk management techniques.
right based on quiz review
