Reference no: EM133844613
Question
CHAPTER 7: Urinary Function
1. The patient, who is a mother of two, has polycystic kidney disease (PKD). Which statement by the patient indicates a need for further education about her disease?
A) "Even though my children don't have symptoms at the same age I did, they can still have PKD."
B) "By maintaining a low-salt diet in our house, I can prevent PKD in my children."
C) "If my children have the PKD gene, they will have renal cysts by the age of 30."
D) "My children have a 50% chance of inheriting the PKD gene that causes the disease."
2. Which dietary modification will the nurse teach to the patient with nephrotic syndrome and a normal glomerular filtration rate?
A) Decreased intake of protein
B) Increased intake of protein
C) Decreased intake of carbohydrates
D) Increased intake of carbohydrates
3. The nurse monitors for which complication in the patient with large renal calculi?
A) Chronic hypertension
B) Hydronephrosis
C) Polyuria
D) Dysuria
4. Selection of which food indicates to the nurse that the renal failure patient understands teaching about a low-sodium and low-potassium diet?
A) Ham
B) Herbs
C) Bananas
D) Salt substitutes
5. Which assessment parameter will the nurse monitor in a patient with chronic kidney disease to determine fluid and sodium retention status?
A) Capillary refill
B) Intake and output
C) Muscle strength
D) Weight and blood pressure
6. Why does blood pressure often remain near normal in patients with nephrotic syndrome?
A) Renin and aldosterone are no longer secreted.
B) Tubules do not respond to ADH and aldosterone.
C) Massive amounts of fluid are lost from the body with polyuria.
D) Hypoproteinemia results in significant fluid shift to the interstitial compartment.
7. What chance does a patient with bladder pain syndrome have to develop end-stage disease?
A) 5%
B) 10%
C) 20%
D) 40%
8. Which of the following conditions is associated with over-secretion of renin?
A) Hypertension
B) Renal calculi
C) Diabetes mellitus
D) Diabetes insipidus
9. Which laboratory result received for a patient with chronic renal failure will require rapid action by the nurse?
A) Blood urea nitrogen 54 mg/dL
B) Serum potassium 7.1 mEq/L
C) Hemoglobin level 10.4 g/dL
D) Serum pH 7.34
10. Examination of a patient's bladder stones reveal that they are primarily composed of uric acid. The nurse would expect to provide the patient with which type of diet?
A) Low calcium
B) Low purine
C) High protein
D) High oxalate