A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

Pain management

Blood glucose control

Fluid restriction

Blood pressure control

Answer and Explanation

The Correct Answer is D

Choice A reason: While pain management is important for comfort, it does not directly slow the progression of PKD to ESRD.

Choice B reason: Blood glucose control is important for overall health but is not the most critical factor in slowing the progression of PKD to ESRD.

Choice C reason: Fluid restriction is not typically necessary for PKD unless there is an associated condition that requires it.

Choice D reason: Blood pressure control is crucial in PKD as hypertension can accelerate the progression to ESRD.

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

Explanation

Choice A reason: Frothy urine is not a typical symptom of pyelonephritis; it is more associated with proteinuria or nephrotic syndrome.

Choice B reason: Lower abdominal pain can be a symptom of pyelonephritis due to in?ammation and infection in the kidneys.

Choice C reason: Hypertension is not a direct symptom of pyelonephritis, although it can be associated with chronic kidney disease.

Choice D reason: A fish-type urine odor can be present in pyelonephritis due to the presence of bacteria.

Choice E reason: Mental confusion can occur, especially in severe cases or in elderly patients with pyelonephritis.

Choice F reason: A weak urine stream may be present if there is swelling or obstruction in the urinary tract due to infection.

A. The client who had general anesthesia for back surgery 4 hours ago. B. The client who has a history of liver failure. C. The client who reported eating a diet high in calcium oxalate. D. The client who was treated with antibiotics for Staphylococcus aureus infection of the skin 2 weeks ago.

Correct Answer is A

Explanation

Choice A reason: General anesthesia can cause urinary retention due to its effects on the nervous system, which may temporarily impair the normal re?exes that control urination. This is particularly relevant in the immediate postoperative period.

Choice B reason: While liver failure can have many systemic effects, it is not directly associated with an increased risk of urinary retention. Urinary retention is more commonly related to factors affecting the urinary tract or nervous system.

Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, but it does not directly increase the risk of urinary retention. Urinary retention typically involves an obstruction or nerve dysfunction.

Choice D reason: Antibiotic treatment for a skin infection, even one caused by Staphylococcus aureus, would not typically result in urinary retention. Urinary retention is usually related to urinary tract obstructions, medications, or nerve issues.

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A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

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

Explanation

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?

Correct Answer is A

Explanation

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

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.)

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?

A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?

A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?

A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?