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Renal N172 HESI Questions and Answers Grade A+ $15.49   Add to cart

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Renal N172 HESI Questions and Answers Grade A+

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Which response would the nurse give to a client with end-stage renal disease who states, "I heard that it is inevitable that I will need a kidney transplant. If so, which one of my kidneys will be removed?" A. "Neither of your kidneys will be removed unless they become infected." B. "The kidne...

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  • November 6, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Renal N172
  • Renal N172
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Renal N172 HESI Questions and
Answers Grade A+
Which response would the nurse give to a client with end-stage renal disease

who states, "I heard that it is inevitable that I will need a kidney transplant. If

so, which one of my kidneys will be removed?"




A. "Neither of your kidneys will be removed unless they become infected."


B. "The kidney that is the most diseased is removed and replaced with a new

one."


C. "Your primary health care provider determines which kidney is replaced

with a new one."


D. "Your right kidney will be removed, because it has a longer renal vein,

making transplantation easier."




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ A. "Neither of your kidneys will be removed unless they become

infected."



✓ Rationale

✓ During a renal transplant, removal of the recipient's own kidneys does

not occur unless a chronic infection is present. The primary health care

provider will not decide which kidney is replaced, the most diseased

kidney will not be removed, and the right kidney will stay because the

kidneys are left in place; the new kidney is placed in the right lower

quadrant and protected by the iliac crest.




Which assessment findings would the nurse expect in the client hospitalized

with a diagnosis of severe chronic kidney disease? Select all that apply. One,

some, or all responses may be correct.




A. Polyuria


B. Paresthesias


C. Hypertension


D. Metabolic alkalosis


E. Widening pulse pressure




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ B. Paresthesias

✓ C. Hypertension



✓ Rationale

✓ Paresthesias occur as a result of excess nitrogenous wastes, altered

fluid and electrolytes, and altered regulatory functions. Nonfunctioning

kidneys cause fluid retention that may result in hypervolemia and

hypertension. Polyuria occurs because of extensive nephron damage

and may occur in the early stage of kidney disease but not in the

severe stage. Metabolic acidosis, not alkalosis, results from the inability

to excrete hydrogen ions and retain bicarbonate. Widening pulse

pressure occurs with increased intracranial pressure, not with kidney

dysfunction.




Which laboratory test would the nurse discuss the need to monitor throughout

the course of prostate cancer when a client asks, "How much more blood will

they need? Don't they have enough?"




A. Albumin


B. Creatinine


C. Blood urea nitrogen (BUN)



Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

D. Prostate-specific antigen (PSA)


✓ D. Prostate-specific antigen (PSA)



✓ Rationale

✓ The PSA is an indication of the presence of prostate cancer; the higher

the level, the greater the tumor burden. The health care provider will

monitor the PSA levels throughout the course of the disease and

periodically thereafter. Albumin is a protein and an indicator of

nutritional and fluid status. Creatinine and BUN levels indicate renal

function and may elevate when blockage of the urethra occurs from

an enlarged prostate, but the reports do not indicate metastasis or

prostate cancer.




Which clinical manifestation would indicate the cancer is in an early stage in

a male client with a preliminary diagnosis of cancer of the urinary bladder?




A. Dysuria


B. Retention


C. Hesitancy


D. Hematuria




Master01 | October, 2024/2025 | Latest update

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