The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?
Assessment
Outcomes identification
Implementation
Diagnosis
The Correct Answer is A
Rationale:
A. Reviewing data from a client’s kidney function tests (such as BUN, creatinine, and GFR) is part of the assessment phase of the nursing process. In transplant nursing, assessment involves collecting, analyzing, and verifying client data to establish a baseline, identify potential complications, and guide further clinical decisions. This step ensures appropriate evaluation before or after a kidney transplant.
B. Outcomes identification involves setting measurable and achievable goals for the client’s care after assessment is completed; it does not include data review.
C. Implementation refers to the actual performance of nursing interventions to achieve the established outcomes, not to data review.
D. Diagnosis follows assessment and involves analyzing the collected data to identify the client’s actual or potential health problems. Reviewing lab data alone does not fulfill this phase.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Hyperkalemia results from impaired potassium excretion in kidney failure, not protein intake. Potassium restriction, not protein restriction, helps manage this risk.
B. Edema occurs due to sodium and fluid retention and low albumin levels, not directly from protein intake. Limiting protein does not control edema; managing fluid and sodium intake does.
C. Uremia results from the accumulation of nitrogenous waste products from protein metabolism. By limiting dietary protein, the production of urea and other nitrogenous wastes is reduced, helping prevent worsening of uremic symptoms.
D. The opposite is true. High protein intake increases nitrogenous waste production, whereas a low-protein diet helps decrease these waste levels and slows the progression of kidney damage.
Correct Answer is ["1170"]
Explanation
Step 1: Convert all measurements to milliliters (mL)
- 1 cup = 240 mL
- 1 oz = 30 mL
Intake:
- Coffee: 1 cup = 240 mL
- Orange juice: 4 oz × 30 = 120 mL
- Water: 3 oz × 30 = 90 mL
- Flavored gelatin: 1 cup = 240 mL
- Tea: 1 cup = 240 mL
- Broth: 5 oz × 30 = 150 mL
- Water: 3 oz × 30 = 90 mL
Step 2: Add all intakes
240 + 120 + 90 + 240 + 240 + 150 + 90 = 1,170 mL
Final Answer: 1,170 mL
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