Assignment: Poststreptococcal Infection

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Assignment: Poststreptococcal Infection

Assignment: Poststreptococcal Infection

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Question 18

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:

a. decreased renal blood flow.
b. decreased peritubular capillary pressure.
c. dilation of the renal pelvis and calyces proximal to a blockage.
d. stimulation of antidiuretic hormone.

Question 19

A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?

a. poststreptococcal infection
b. nephropathy
c. nephrotic syndrome
d. potter syndrome

Question 20

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?

a. Elevated plasma creatinine level
b. Decreased plasma potassium level
c. Metabolic alkalosis
d. Increased urea clearance

Question 21

While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:

a. urine pH.
b. body temperature.
c. gender.
d. serum mineral concentrations.

Question 22

A 30-year-old male is demonstrating hematuria with red blood cell casts 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:

a. cystitis.
b. chronic pyelonephritis.
c. acute glomerulonephritis.
d. renal calculi.

Question 23

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?

a. vesicoureteral reflux and pyelonephritis
b. formation of renal calculi
c. glomerulonephritis
d. increased bladder compliance

Question 24

The urologist is teaching about the nephrons that determine the concentration of the urine. The urologist is discussing the _____ nephrons.

a. Juxtamedullary
b. Midcortical
c. Cortical
d. Medullary

Question 25

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:

a. Fats
b. Complex carbohydrates
c. Proteins
d. Sugars

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