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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. At least 18 years old: Kidney donors must legally be adults (18 years or older) to provide informed consent for the procedure.
B. At least 16 years old: Minors cannot give legal consent for organ donation.
C. At least 14 years old: This is below the age of legal adulthood and eligibility for kidney donation.
D. At least 21 years old: The minimum age for kidney donation is 18, not 21.
Correct Answer is B
Explanation
A. Blood volume decreases: While fluid imbalances are common in renal failure, the oliguric stage is marked by fluid retention, not decreased blood volume.
B. Blood urea nitrogen (BUN) level rises: The oliguric stage is characterized by reduced urine output, leading to waste product accumulation, including elevated BUN levels.
C. Urine osmolality increases: In renal failure, urine osmolality may remain low or not reflect changes due to impaired kidney function.
D. Serum calcium increases: Serum calcium often decreases in renal failure due to disturbances in vitamin D metabolism and phosphate retention.
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