Question

Write 5 NCLEX renal questions, provide the answer and rationales for why the other options are not correct.

Answer 1

1)you expect patient is the oliguric phase of renal failure to have a 24 hour urine output less than

A)200ml

B)400ml

C)800ml

D)1000ml

And:-400

Oliguria is defined as urine output less than 400 ml/24 hrs.

2)which finding results leads you to suspect acute glomerulonephritis ?

A)dysuria,frequency and urgency

B)back pain,nausea,vomiting

C)hypertention ,oliguria, fatigue

D)fever,chills,right upper quadrant pain radiating to back

And;--c) hypertension , oliguria, fatigue

Mild to moderate HTN may result from sodium water retention from the kidney.oliguria and fatigue also may be seen.other signs are proteinuria and azotemia.

3) immediately post op after a prostatectomy which complications requires priority assessment of your patient?

A)pnemonia

B)hemorrhage

C) urine retention

D)deep vein thrombosis

And:- hemorrhage.

It is a potential complication.urine retention isn't a problem soon after surgery because a catheter is in place. Pnemonia may occur if the patient doesn't cough and deep breath .thrombosis may occur later if the patient doesn't ambulate

4)clinical manifestations of acute glomerulonephritis include which of the following?

A)chills and flank pain

B)oliguria and generalized edema

C)hematuria and proteinuria

D)dysuria and hypotension

Ans-hematuria and proteinuria

These finding result from increased permeability of the glomerular membranes due to the antigen antibody reaction.generalzed edema is seen most often in nephrosis.

5)what is the most important nursing diagnosis for a patient in end stage renal disease ?

A)risk for injury

B) Fluid volume excess

C)altered nutrition less than body requirements

D) activity intolerance

And:- kidneys are unable to rid the body of excess fluids which results in fliud volume excess during ESRD.