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?

Diagnosis

Assessment

Implementation

Outcomes identification

Answer and Explanation

The Correct Answer is B

Choice A reason: Diagnosis is the identification of a disease or condition, which is not directly related to reviewing kidney function test data.

Choice B reason: Assessment involves collecting and analyzing data, which is what the nurse is doing when reviewing kidney function test results.

Choice C reason: Implementation refers to carrying out interventions, not reviewing test data.

Choice D reason: Outcomes identification involves setting goals and expected outcomes, not reviewing test data.

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Correct Answer is C

Explanation

Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.

Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.

Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.

Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.

A. Iron deficiency B. Protein in the urine C. Dehydration D. Obesity

Correct Answer is C

Explanation

Choice A reason: Iron deficiency is not typically associated with an increased risk of renal calculi. Renal calculi, or kidney stones, are generally composed of minerals such as calcium, oxalate, urate, cystine, xanthine, and phosphate.

Choice B reason: While protein in the urine, or proteinuria, may indicate kidney disease, it is not a direct risk factor for the formation of renal calculi. However, excessive dietary protein intake can increase the risk of stone formation.

Choice C reason: Dehydration is a significant risk factor for renal calculi. Insufficient fluid intake leads to concentrated urine, which can promote the crystallization and aggregation of stone-forming substances.

Choice D reason: Obesity is associated with an increased risk of renal calculi. Higher body mass index (BMI) can lead to changes in urine that promote the formation of stones.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

Correct Answer is C

Explanation

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Correct Answer is C

Explanation

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