Which outcome is most necessary for a patient diagnosed with renal calculi?
Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief.
Patient is able to describe measures to prevent recurrence of calculi.
Patient will avoid infections and situations that would increase stress.
Patient will measure intake and output so that they will be approximately equal.
The Correct Answer is B
A. Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief: Awareness of symptoms is important, but prevention of recurrence is the primary goal.
B. Patient is able to describe measures to prevent recurrence of calculi: Prevention is the primary long-term goal in managing renal calculi. Understanding dietary adjustments, hydration, and lifestyle changes is crucial.
C. Patient will avoid infections and situations that would increase stress: Avoiding infections and stress is helpful but is not the main goal specific to renal calculi management.
D. Patient will measure intake and output so that they will be approximately equal: While monitoring hydration is important, it supports rather than defines the primary outcome of preventing recurrence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eliminate urinary retention: Urinary antimicrobials do not address retention; this would require medications that promote bladder emptying.
B. Have an antiseptic effect on the urine and the urinary tract: Urinary antimicrobials work by reducing bacterial growth within the urinary tract.
C. Enhance output enough to flush out the infection from the urinary tract: Increased output may help prevent infections, but antimicrobials target bacterial pathogens directly.
D. Reduce pain associated with bladder spasms caused by the infection: Analgesics, not antimicrobials, are used for pain relief.
Correct Answer is C
Explanation
A. Hypertension as a result of the increased, concentrated blood volume: Hypertension in chronic kidney disease is due to fluid overload and renin-angiotensin-aldosterone system activation, not erythropoietin deficiency.
B. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis: Dyslipidemia in chronic kidney disease is unrelated to erythropoietin deficiency.
C. Anemia as a result of the diminished number of red blood cells being produced: Erythropoietin stimulates red blood cell production; its deficiency in chronic renal failure leads to anemia.
D. Diminished immunologic function with fewer white blood cells: White blood cell production is not directly affected by erythropoietin deficiency.
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