NR507 Midterm Exam 2023 / NR 507 Week 4 Midterm Advanced Pathophysiology Midterm Exam Latest Chamberlain College Of Nursing (VERSION A) A 25 year old female is diagnosed with urinary tract obstruction. while planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by ? - ANSWER>>>Dilation of the renal pe lvis and calyces proximal to a blockage A 27 year old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur? - ANSWER>>>Compensatory hypertrophy of the remaining kidney A 55 year old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the following is of most concern to the nurse? - ANSWER>>>Formation of renal calculi When a patient asks what the most common type of renal stones is composed of, how should the nurse respond? The most common type of renal stone is composed of? - ANSWER>>>Calcium While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus for mation is - ANSWER>>>Urine pH A 24 year old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience - ANSWER>>>Flank pain A 25 year old female presents with burning urination . She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organisms is most likely infecting her urinary tract - ANSWER>>>Escherichia coli A 75 year old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart - ANSWER>>>stress incontinence A nurse assesses a patient with a complicated urinary tract infection (UTI) for - ANSWER>>>Other health problems A 28 year old female presents with fever, chills, and flank pain. She is diagnosed with pyelonephritis. A nurse recalls the patient's infection is located in the - ANSWER>>>Renal pelvis A 28 year old female presents with fever, chills, and flank pain. She is diagnosed with pyelonephritis. A nurse recalls the patient's infection is located in the - ANSWER>>>urinary tract obstruction A 29 year old female presents with cloudy urine, flank pain, hematuria, and fever. which of the following does the nurse suspect the patient is most likely experiencing? - ANSWER>>>acute cystitis . A 15 year old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. Whil e reviewing the culture results, which of the following is the most likely cause of this disease - ANSWER>>>Group A B -hemolytic streptococcus When a nurse observes post -streptococcal glomerulonephritis as a diagnosis on a patient, which principle will th e nurse remember? Acute post-streptococcal glomerulonephritis is primarily caused by - ANSWER>>>antigen -antibody complex deposition in the glomerular capillaries and inflammatory damage A 30 year old male is demonstrating hematuria with red blood cell ca sts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is - ANSWER>>>acute glomerulonephritis A 45 year old male presents with oliguria. He is diagnosed wit h chronic glomerulonephritis. The nurse knows oliguria is related to - ANSWER>>>thickening of the glomerular membrane and decreased renal blood flow A 42 year old male is involved in a motor vehicle accident during which he loses a lot of blood. the nurs e realizes he is in acute renal failure caused by - ANSWER>>>inadequate renal blood flow A 56 year old male presents with flank pain and polyuria. Tests reveal that he has an enlarged prostate. which of the following types of renal failure should the nur se monitor for as it is the most likely to occur - ANSWER>>>Postrenal A 60 year old male is diagnosed with renal failure. while the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis - ANSWER>> >Elevated plasma creatinine level A 45 year old female presents with hypertension, anorexia, nausea and vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your an emia is caused by - ANSWER>>>inadequate production of erythropoietin A 42 year old female is diagnosed with chronic renal failure and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting - ANSWER>>>Proteins While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because - ANSWER>>>the kidneys fail to activate vitamin D Anemia accompanies chronic renal failure because of - ANSWER>>>inadequate production of erythropoietin A patient with end -stage renal disease has pruritus. When the patient asks what causes this, what is the nurse's best response? Pruritus, seen in patient s with end -stage renal disease, is caused by high levels of - ANSWER>>>calcium When a nurse is teaching about urinary pathogens in men. Which information should the nurse include? Mechanisms for defense against
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