ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 67 : Care of Patients with Kidney Disorders Questions
Question 1 of 5
A nurse provides health screening for a community health center with a large population of African American clients. Which priority assessment should the nurse include when working with this population?
Correct Answer: B
Rationale: African Americans have a high prevalence of hypertension, which is a leading cause of end-stage renal disease. Assessing blood pressure is a priority to monitor and manage this risk. While other assessments are important, blood pressure screening is critical for this population.
Question 2 of 5
After teaching a client with renal cancer who is prescribed temsirolimus (Torisel), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
Correct Answer: B
Rationale: Temsirolimus is administered weekly via intravenous infusion, so keeping infusion center appointments is correct. It is not taken orally, does not require dietary restrictions like limiting green leafy vegetables, and while infections should be reported, the statement about not taking it if ill is not accurate.
Question 3 of 5
A nurse cares for a client who has pyelonephritis. The client states, 'I am embarrassed to talk about my symptoms and I don't want to talk to my nurse.' How should the nurse respond?
Correct Answer: C
Rationale: Encouraging the client to use familiar language helps facilitate discussion about sensitive genitourinary symptoms. Promising absolute confidentiality may not be feasible, dismissing the topic is inappropriate, and changing nurses does not address the client's discomfort with communication.
Question 4 of 5
A nurse assesses a client who has a family history of polycystic kidney disease (PKD). For which clinical manifestations should the nurse assess? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Clients with PKD commonly experience dysuria, increased abdominal girth due to kidney enlargement, and hematuria from cyst rupture or tissue damage. Nocturia, dyspnea, and diarrhea are not typically associated with PKD.
Question 5 of 5
A nurse assesses a client with nephrotic syndrome. For which clinical manifestations should the nurse assess? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Nephrotic syndrome is characterized by proteinuria (>3.5 g/24 hr), hypoalbuminemia, and lipiduria due to glomerular damage. Dehydration is unlikely due to fluid overload, and dysuria and CVA tenderness are associated with infections like cystitis or pyelonephritis, not nephrotic syndrome.