ATI LPN
Renal System Questions Questions
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.