Matching (20) Match items in column A to column B

Column a Column b
1.
A.
The stage of “renal insufficiency” of chronic kidney disease is associated with
a. destruction of more than 90% of total nephrons.
b. uremic syndrome.
c. polyuria and nocturia.
d. proteinuria and hypoproteinemia.
2.
B.
A patient has been prescribed once daily sustained-release diethylpropion (Tenuate) for weight loss. When providing education about the administration of this drug, the nurse should instruct the patient to take the medication
a. just prior to bedtime.
b. once daily before breakfast.
c. 1 hour prior to meals.
d. during the midmorning.
3.
C.
Which of the following findings should prompt an evaluation for renal cancer?
a. Bacteria and protein in the urine
b. Intermittent urinary colic
c. Painless hematuria
d. Red blood cell casts in the urine
4.
D.
The pathophysiologic basis of acute glomerulonephritis is
a. renal ischemia.
b. bacterial invasion of the glomerulus.
c. an anaphylactic reaction.
d. an immune complex reaction.
5.
E.
a. Nephrotic syndrome
b. Uremic syndrome


1. Proteinuria

2. Azotemia

3. Oliguria

4. Hyperlipidemia
6.
F.
An adult who has been self-medicating, using nutritional therapy for elevated cholesterol, complains of repeated episodes of flushing. The nurse suspects that the patient has been taking
a. niacin.
b. thiamin.
c. riboflavin.
d. pyridoxine.
7.
G.
True or False: Esophagitis pain is similar in location and pattern to myocardial chest pain.
8.
H.
steatorrhea
9.
I.
Which of the following interventions has been found to retard the advancement of chronic kidney disease?
a. Calcium supplementation
b. Erythropoietin
c. Insulin
d. ACE inhibitors or A-II receptor blockers
10.
J.
A patient with renal disease is at risk for developing uremia as his nephrons progressively deteriorate because
a. the basement membrane becomes increasingly permeable.
b. filtration exceeds secretory and reabsorptive capacity.
c. excessive solute and water are lost in the urine.
d. GFR declines.
11.
K.
For a patient with which of the following would the nurse withhold a prn order for magnesium hydroxide?
a. Hemorrhoids
b. Prostatitis
c. Cirrhosis
d. Chronic renal failure
12.
L.
When metronidazole (Flagyl) is a component of the H. pylori treatment regimen, the patient must be instructed to
a. avoid foods containing tyramine.
b. take the drug with food.
c. take the drug on an empty stomach.
d. avoid any alcoholic beverages.
13.
M.
Which of the following findings would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea?
a. Negative stool leukocytes
b. Intermittent constipation
c. Abdominal pain and distention
d. Bloody stools
14.
N.
Ulcerative colitis is commonly associated with
a. bloody diarrhea.
b. malabsorption of nutrients.
c. fistula formation between loops of bowel.
d. inflammation and scarring of the submucosal layer of the bowel.
15.
O.
The nurse is administering magnesium hydroxide (Milk of Magnesia) to a patient who has been complaining of constipation and has consistently taken the medication every day for a week. The patient has poor skin turgor, BP 90/60, and HR 120. The nurse should further assess the patient for
a. toxicity.
b. dehydration.
c. increased sodium.
d. increased potassium.
16.
P.
7. Z.C. is a 49-year-old man with autosomal dominant polycystic kidney disease (ADPKD). His kidneys are enlarged with multiple urine-filled cystic lesions. Z.C. is currently in a stage of renal insufficiency with a GFR of about 20% of normal. He suffers from recurrent urinary tract infections and chronic anemia. In counseling Z.C. about the risk of transmitting the disorder to his offspring, which of the following statements would be correct?
a. Each offspring has a 50% chance of developing the disease.
b. Each offspring has a 25% chance of developing the disease.
c. Each offspring has a 50% chance of being a carrier.
d. Only boys are affected, whereas girls are carriers.
17.
Q.
Most gallstones are composed of
a. bile.
b. cholesterol.
c. calcium.
d. uric acid salts.
18.
R.
Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease.
b. appendicitis.
c. pancreatitis.
d. peritonitis.
19.
S.
A patient is placed on a multidrug regimen that includes bismuth for treatment of peptic ulcer disease (PUD). The nurse should include which of the following points when providing patient education?
a. One week of therapy should heal ulcers, relieve symptoms, and eradicate H. pylori.
b. Resolution of pain indicates that the ulcer has healed.
c. The tongue and stool may turn black.
d. A single-antibiotic regimen is preferable to a multi-antibiotic regimen whenever possible.
20.
T.
True or False: Patients with end-stage renal disease are at a high risk of developing hypocalcemia.