A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?
Chronic nephropathies that lead to fibrosis and destruction of normal kidney structure and function
Obstruction leading to the filtration system backing up and eventually shutting the kidneys down
Reduction of blood flow to the kidneys
Acute tubular necrosis caused by the damage to the cells of the renal tubules leading to cell death and a decreased glomerular filtration rate
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is D
Explanation
A.While broth can provide fluids and some electrolytes, it is often high in sodium and may not be balanced for a child with diarrhea. High sodium content can exacerbate dehydration and does not adequately replace the lost potassium.
B.Apple juice contains high levels of sugar and may worsen diarrhea by drawing water into the intestines. Additionally, the fructose in apple juice can be difficult to absorb and may lead to increased gastrointestinal discomfort.
C.Cherry gelatin provides fluids but contains sugar and artificial coloring, which are not ideal for rehydration. It does not have the necessary electrolytes that are lost during diarrhea.
D.Pedialyte is specifically formulated to replace fluids and electrolytes lost during episodes of diarrhea and vomiting. It helps prevent dehydration by providing an appropriate balance of electrolytes and fluids that are easily absorbed by the body.
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