The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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Correct Answer is B

Explanation

A. While controlling carbohydrate intake may be beneficial for managing blood glucose levels in some cases, it is not a primary dietary concern for chronic kidney disease.
B. Patients with chronic kidney disease often need to limit potassium intake because the kidneys may have difficulty excreting excess potassium, leading to hyperkalemia.
C. While protein restriction may be necessary in advanced stages of chronic kidney disease to reduce the workload on the kidneys, complete elimination of protein is not recommended.
D. Sodium restriction is often recommended for patients with chronic kidney disease to help control blood pressure and fluid balance.

A. Renal calculi B. Hypovolemia C. inactivity D. Nephrotoxic drugs

Correct Answer is B

Explanation

A. While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B. Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C. While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.

D. While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.

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The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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