A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

"I get such back pain with these urine infections. It hurts so bad."

"When I have one of these infections, I can't go to my grandkids' school activities like I normally do."

"I have to be close to a bathroom no mater where I am when I have this infection."

"Sometimes I get so nauseated and start throwing up and can't even keep water down."

Answer and Explanation

The Correct Answer is B

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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Correct Answer is B

Explanation

Choice A reason: The bladder is not where renal calculi typically begin to form; it is where they may end up if they travel down from the kidneys.

Choice B reason: Renal calculi commonly begin forming at the renal papilla, which is part of the kidney where urine collects before it flows into the ureter.

Choice C reason: The ureter is not the typical starting point for the formation of renal calculi, though stones can travel through it.

Choice D reason: The urethra is not a common site for the formation of renal calculi; it is the duct through which urine is discharged.

A. Driving restrictions B. Restricting foods high in potassium, sodium, and phosphorus C. Restricting airplane travel D. Time constraints E. Restricting fluid intake F. Limiting social activities to twice a week

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Driving restrictions are not typically necessary for clients on hemodialysis unless there are other underlying conditions affecting their ability to drive safely.

Choice B reason: Clients on hemodialysis need to restrict foods high in potassium, sodium, and phosphorus to manage their electrolyte levels and prevent complications.

Choice C reason: Airplane travel is not generally restricted for hemodialysis clients, but they may need to arrange for dialysis at their destination.

Choice D reason: Time constraints are a significant factor as hemodialysis requires several hours per session, multiple times a week.

Choice E reason: Fluid intake often needs to be restricted in clients on hemodialysis to prevent fluid overload, as the kidneys are not able to remove excess fluid effectively.

Choice F reason: Limiting social activities is not a necessary restriction unless it is related to the client's overall health status.

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A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of the following areas of the renal system do most renal calculi begin forming?

Correct Answer is B

Explanation

A nurse is caring for a client who has end-stage kidney disease and will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact their quality of life? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

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A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?