A patient with polycystic kidney disease is planning to be married and asks the nurse if his children could inherit this disorder. What is the nurse's best response?
1. Yes, this condition can be inherited.
2. Yes, but this condition is so rare that you shouldn't worry about it.
3. No, polycystic kidney disease occurs because of spontaneous mutations.
4. You should ask your fiance to come with you to your next office visit so we can discuss this.
Question 2The nurse is completing the instructions to a patient who underwent a cadaver kidney transplant and is ready for discharge from the hospital. What patient statement indicates that further teaching is needed?
1. I'm glad I won't have to take immunosuppressants any longer.
2. I know to check my weight on a regular basis.
3. I'll call my doctor if I notice any decrease in my urine output.
4. I'll tell my friends to stay away from me if they have colds or the flu.
Question 3A patient who received a kidney transplant seven years ago is seen for increasing blood pressure and proteinuria. The nurse realizes that this patient is demonstrating signs of what health problem?
1. chronic rejection
2. acute rejection
3. renal artery stenosis
4. pyelonephritis
Question 4A patient with chronic kidney disease is trying to decide between hemodialysis and peritoneal dialysis. What should the nurse encourage the patient to consider as advantages of peritoneal dialysis?
Select all that apply.
1. minimal vascular complications
2. liberal intake of fluids
3. better self-management
4. better metabolite elimination
5. lower risk of infection
Question 5The nurse is planning care for a patient with kidney disease who is having difficulty maintaining adequate nutrition. Which intervention should the nurse include in this patient's plan of care?
1. Provide mouth care before meals.
2. Schedule meals for three times each day.
3. Provide antiemetics after meals.
4. Weigh once per week.
Question 6The nurse is preparing to assess an older patient with age-related renal dysfunction. What should the nurse include in this assessment?
1. evidence of medication or drug toxicity
2. recreational activities
3. activity status
4. daily meal pattern
Question 7A patient is admitted with signs of chronic kidney disease. What finding should the nurse use to determine whether this patient is developing metabolic acidosis?
1. Kussmaul respirations
2. low urine output
3. muscle cramps
4. diarrhea
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