After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?

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Question 1 of 5

After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?

Correct Answer: B

Rationale: Fiber and fluids manage constipation common in PKD, showing correct nutritional understanding.

Question 2 of 5

The nurse is preparing to administer trimethoprim-sulfamethoxazole (TMP-SMX) to a patient who is being treated for a urinary tract infection. The nurse learns that the patient has type 2 diabetes mellitus and takes a sulfonylurea oral antidiabetic drug. The nurse will monitor this patient closely for which effect?

Correct Answer: C

Rationale: Sulfonamides enhance sulfonylurea effects, increasing hypoglycemia risk in diabetics.

Question 3 of 5

Regarding osmotic diuresis, which statement is true?

Correct Answer: D

Rationale: Osmotic diuresis occurs due to unreabsorbed solutes like glucose in diabetes ketoacidosis.

Question 4 of 5

A 54 year old woman presents with a 5 day history of constant pain in her left flank and anuria for the past 24 hours. Her past medical history reveals that she just finished her 4th out of 6 cycles of radiation therapy to the right chest wall following a mastectomy for Stage 4 invasive ductal carcinoma of the right breast. Her vitals are: BP 140/78, Pulse: 80 bpm Sinus rhythm, Temperature: 99°F, RR 18/min. Her radiation oncologist has specifically requested that any imaging used to investigate her symptoms NOT utilize ionizing radiation. Which of the following imaging modalities below would be appropriate?

Correct Answer: E

Rationale: MRI and ultrasound use no ionizing radiation, meeting the oncologist's request safely.

Question 5 of 5

A nurse teaches a client who is recovering from a urography. Which instruction should the nurse include in this client's discharge teaching?

Correct Answer: C

Rationale: High fluid intake speeds dye elimination, preventing nephrotoxicity.

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