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Question 20Type: MCSAA patient is diagnosed with hypertension caused by polycystic kidney disease. Which intervention might be helpful to control this patient’s blood pressure and slow the progression of renal failure?1. Administration of ACE inhibitors2. Kidney transplant3. Hemodialysis4. Peritoneal dialysis
Correct Answer: Rationale 1: Hypertension associated with polycystic disease is generally controlled using angiotensin-converting enzyme (ACE) inhibitors or other antihypertensive agents.Rationale 2: Renal transplant is indicated when kidney function cannot control the wastes from metabolic processes.Rationale 3: Dialysis is indicated when kidney function cannot control the wastes from metabolic processes.Rationale 4: Dialysis is indicated when kidney function cannot control the wastes from metabolic processes.1Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Pharmacological and Parenteral TherapiesNursing/Integrated Concepts: Nursing Process: PlanningLearning Outcome: 39-5Question 21Type: MCSAThree weeks after being treated for strep throat, a patient comes into the clinic with signs of acute glomerulonephritis. Which symptom will the nurse most likely find upon assessment of this patient?1Global Rationale: Cognitive Level: Applying
Client Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 39-3Question 22Type: MCSAThe nurse is planning the care of a patient with chronic glomerulonephritis. What should be the goal of treatment for this patient?1