Question 1

The nurse is reviewing results of a routine urinalysis that indicates presence of protein in the urine. The nurse interprets this finding to mean that:

Accepted Answer

A)   There is likely a mistake with the results, and the client should have another test done.
B)  The client probably has kidney damage.
C)  The results are probably insignificant if the amount of protein is very small.
D)  The client is in acute renal failure, and should be hospitalized.E) A) and B)
F) A) and C)

Question 2

The nurse is managing care for a client with acute renal failure. What does the nurse recognize as the most important client safety precaution with regard to medication administration?

Accepted Answer

A)  Review the client's medication regimen to identify any nephrotoxic drugs.2 Review the client's medication regimen to identify any drugs that increase fluid retention.
B)  Ensure that the client's fluid intake and output are measured precisely.
C)  Plan to administer less-than-average doses of all medications prescribed for the client.D) A) and B)
E) A) and C)

Question 3

A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?

Accepted Answer

A)  Dehydration2 Hypernatremia
B)  Fluid volume excess
C)  HyperkalemiaD) A) and B)
E) A) and C) B

Question 4

The nurse caring for a client in renal failure should question an order for which drug?

Accepted Answer

A)  Acetylsalicylic acid (aspirin)  162 mg daily2 Acetaminophen (Tylenol)  1 g four times daily
B)  Erythromycin (Emycin)  500 mg four times daily
C)  Aluminum hydroxide gel 30 ml every four hours as neededD) All of the above
E) A) and C)

Question 5

A client has severe protein malnutrition, and is taking a drug that is 99% bound to albumin. What alteration in the concentration of this drug in the urinary filtrate will occur?

Accepted Answer

A)  An increase in the amount of drug filtered into Bowman's capsule2 A decrease in the amount of drug reabsorbed across the walls of the renal tubule
B)  An increase in the amount of drug passively secreted across the walls of the renal tubule
C)  An increase in the amount of drug actively secreted across the walls of the renal tubuleD) A) and B)
E) A) and C)

Question 6

Which substances enter the filtrate by active secretion? Select all that apply.

Accepted Answer

A)  Potassium2 Sodium
B)  Chloride
C)  Hydrogen
D)   PhosphateE) A) and B)
F) All of the above

Question 7

The formation of urine is completed at which structure?

Accepted Answer

A)  Glomerulus
B)  Collecting duct
C)  Ureter
D)  Henle's loopE) None of the above
F) B) and C)

Question 8

The nurse is caring for clients on a renal failure unit, and recognizes which of the following as indications for diuretic therapy? Select all that apply.

Accepted Answer

A)  Confusion and ataxia
B)  Generalized edema and decreased urine output
C)  Visual and auditory hallucinations
D)  Blood pressure of 200/98 mm/Hg
E)   Pinpoint pupils and extreme paranoiaF) B) and C)
G) C) and D) B

Question 9

The nurse caring for a client with renal failure will question the use of a usual dose of which of the following? Select all that apply.

Accepted Answer

A)   Gentamicin (Garamycin) 
B)   Avorstatin (Cholestyramine) 
C)   Digoxin (Lanoxin) 
D)   Fluvastatin (Lescol) E) A) and C)
F) None of the above

Question 10

A client has been diagnosed with chronic renal failure, and is receiving hydrochlorothiazide (HCTZ) . The nurse has taught the client about the importance of kidney function, and evaluates that learning has occurred when the client makes which statements? Select all that apply.

Accepted Answer

A)   "The kidneys balance the fluid and electrolytes in my body."
B)   "The kidneys help my heart by balancing potassium."
C)  "The kidneys help regulate the oxygen levels in my blood."
D)  "The kidneys help decrease infections by excreting bacteria."
E)  "The kidneys keep blood pressure from getting too low."F) C) and E)
G) B) and C) A,B,E

Exam 35: Diuretic Therapy and the Pharmacotherapy of Renal Failure

The nurse is reviewing results of a routine urinalysis that indicates presence of protein in the urine. The nurse interprets this finding to mean that:

Correct Answer
verified

The nurse is managing care for a client with acute renal failure. What does the nurse recognize as the most important client safety precaution with regard to medication administration?

Correct Answer
verified

A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?

Correct Answer
verified
B

The nurse caring for a client in renal failure should question an order for which drug?

Correct Answer
verified

A client has severe protein malnutrition, and is taking a drug that is 99% bound to albumin. What alteration in the concentration of this drug in the urinary filtrate will occur?

Correct Answer
verified

Which substances enter the filtrate by active secretion? Select all that apply.

Correct Answer
verified

The formation of urine is completed at which structure?

Correct Answer
verified

The nurse is caring for clients on a renal failure unit, and recognizes which of the following as indications for diuretic therapy? Select all that apply.

Correct Answer
verified
B

The nurse caring for a client with renal failure will question the use of a usual dose of which of the following? Select all that apply.

Correct Answer
verified

A client has been diagnosed with chronic renal failure, and is receiving hydrochlorothiazide (HCTZ) . The nurse has taught the client about the importance of kidney function, and evaluates that learning has occurred when the client makes which statements? Select all that apply.

Correct Answer
verified
A,B,E

Exam 35: Diuretic Therapy and the Pharmacotherapy of Renal Failure

The nurse is reviewing results of a routine urinalysis that indicates presence of protein in the urine. The nurse interprets this finding to mean that:

Correct AnswerverifiedShow Answer

The nurse is managing care for a client with acute renal failure. What does the nurse recognize as the most important client safety precaution with regard to medication administration?

Correct AnswerverifiedShow Answer

A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?

Correct AnswerverifiedB

The nurse caring for a client in renal failure should question an order for which drug?

Correct AnswerverifiedShow Answer

A client has severe protein malnutrition, and is taking a drug that is 99% bound to albumin. What alteration in the concentration of this drug in the urinary filtrate will occur?

Correct AnswerverifiedShow Answer

Which substances enter the filtrate by active secretion? Select all that apply.

Correct AnswerverifiedShow Answer

The formation of urine is completed at which structure?

Correct AnswerverifiedShow Answer

The nurse is caring for clients on a renal failure unit, and recognizes which of the following as indications for diuretic therapy? Select all that apply.

Correct AnswerverifiedB

The nurse caring for a client with renal failure will question the use of a usual dose of which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

A client has been diagnosed with chronic renal failure, and is receiving hydrochlorothiazide (HCTZ) . The nurse has taught the client about the importance of kidney function, and evaluates that learning has occurred when the client makes which statements? Select all that apply.

Correct AnswerverifiedA,B,E

Correct Answer
verified

Correct Answer
verified

Correct Answer
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B

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
verified

Correct Answer
verified
A,B,E