A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?

"The kidney infection has caused narrowing of the ureters, and your abdomen has filled with fluid."

"The kidneys continue to enlarge due to the cysts growing, which increases the girth of your abdomen."

"The stones might descend into the ureters, blocking the flow of urine and causing an increase in the girth of your abdomen."

"The in?ammation in your kidneys damages the filtration system, which causes fluid retention in your abdomen."

Answer and Explanation

The Correct Answer is B

Choice A reason: While kidney infections can cause swelling, they typically do not lead to a significant increase in abdominal girth unless associated with severe obstruction or advanced kidney disease.

Choice B reason: In PKD, the kidneys can become significantly enlarged due to the growth of numerous cysts, which

can indeed lead to an increase in abdominal girth.

Choice C reason: While stones can cause blockage and swelling, they would not typically result in a generalized increase in abdominal girth unless there is an associated infection or severe obstruction.

Choice D reason: Inflammation can lead to fluid retention, but in the context of PKD, it is the cysts' growth that primarily contributes to increased kidney size and abdominal girth.

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Correct Answer is ["2"]

Explanation

Step 1: The total amount of diphenhydramine required per dose is 50 mg.

Step 2: Each tablet contains 25 mg of diphenhydramine.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 50 mg ÷ 25 mg/tablet.
Step 4: The result is 2 tablets.
So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.

A. Elevated creatinine level B. Urinary retention C. Flank pain D. Bleeding tendencies

Correct Answer is D

Explanation

Choice A reason: An elevated creatinine level indicates reduced kidney function, which is often the reason a kidney biopsy is being performed in the first place. It is not a contraindication for the procedure.

Choice B reason: Urinary retention does not directly impact the ability to perform a kidney biopsy, as the procedure involves the kidneys and not the lower urinary tract where urine is stored.

Choice C reason: Flank pain is a common symptom in patients with kidney issues and is not a contraindication for a kidney biopsy. The procedure may help diagnose the cause of the ?ank pain.

Choice D reason: Bleeding tendencies are a significant contraindication for a kidney biopsy. Patients with a history of bleeding disorders or those on anticoagulant therapy are at increased risk of bleeding complications from the procedure.

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A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

Correct Answer is D

Explanation

A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

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A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

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