100%(16)16 out of 16 people found this document helpful
This preview shows page 20 - 23 out of 27 pages.
Question 27Type: MCSAA patient who received a kidney transplant 7 years ago is seen for increasing blood pressure and proteinuria. The nurse conducts additional assessment for which complication?1. Chronic kidney rejection
2. Acute kidney rejection3. Renal artery stenosis4. PyelonephritisCorrect Answer: Rationale 1: Chronic rejection may develop months to years following a transplant. The presenting manifestations of progressive azotemia, proteinuria, and hypertension are those of progressive renal failure.Rationale 2: Acute rejection most commonly occurs in the weeks immediately following a transplant.Rationale 3: Renal artery stenosis manifests with a bruit over the surgical anastomosis site.Rationale 4: Pyelonephritis manifests with abdominal discomfort and low-grade fever.1Global Rationale: Cognitive Level: AnalyzingClient Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 39-5Question 28Type: MCSAWhich intervention would be appropriate for a patient in renal failure with the diagnosis of Imbalanced Nutrition: Less than Body Requirements?1
Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: PlanningLearning Outcome: 39-4Question 29Type: MCSAA patient is diagnosed with postrenal acute renal failure. Which finding is associated with this type of renal failure?1Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 39-3