A 71-year-old patient with a diagnosis of benign prostatic hyperplasia (BPH) has been scheduled for a contact laser technique. What is the primary goal of this intervention? A. Resumption of normal urinary drainage B. Maintenance of normal sexual functioning C. Prevention of acute or chronic renal failure D. Prevention of fluid and electrolyte imbalances

A. Resumption of normal urinary drainage The most significant signs and symptoms of BPH relate to the disruption of normal urinary drainage and consequent urine retention, incontinence, and pain. A laser technique vaporizes prostate tissue and cauterizes blood vessels and is used as an effective alternative to a TURP to resolve these problems. Fluid imbalances, sexual functioning, and kidney disease may result from uncontrolled BPH, but the central focus remains urinary drainage. More test answers on https://studyhippo.com/lewis-chapter-54/

A patient with chronic renal failure receiving epoetin alfa will be having a total left hip arthroplasty. What supplementation should the patient receive prior to surgery?

An iron supplement More test answers on https://studyhippo.com/pharm-hematopoisis/

The patient with chronic renal failure requires an agent to increase red blood cell production. What drug does the nurse anticipate administering?

Epoetin alfa pg. 151 More test answers on https://studyhippo.com/prep-u-for-abramss-clinical-drug-therapy-10th-edition-chapter-9-drug-therapy-for-hematopoietic-disorders-and-to-enhance-immunity/

Which of the following is as integumentary manifestation of chronic renal failure? a) Gray-brown skin color b) Tremors c) Seizures d) Asterixis

Gray-brown skin color More test answers on https://studyhippo.com/medsurg-final-exam/

What bone-related changes should a nurse expect to see in a client with chronic renal failure? (only 1) Calcification Demineralization Increased bone density Bone marrow hyperplasia

Demineralization (A client with chronic renal failure cannot make sufficient amounts of active vitamin D. As a result, these clients are at risk of demineralization of the bone due to impaired calcium absorption in the intestine. ) More test answers on https://studyhippo.com/fundamentals-ch-17/

Which of the following foods should be limited in a patient with chronic renal failure (CRF)? a. Milk b. Bananas c. Soy sauce d. All of the above

D More test answers on https://studyhippo.com/adult-1-exam-3-renal-and-gyn/

Which sudden onset condition is characterized by uremia? A) acute renal failure B) nephrotic syndrome C) end-stage renal disease D) chronic renal failure

A More test answers on https://studyhippo.com/ch-9-practice-test-medical-terminology/

The patient with chronic renal failure requires an agent to increase red blood cell production. What drug does the nurse anticipate administering? a) Epoetin alfa b) Thrombopoetin c) Filgrastim d) Oprelvekin

Epoetin alfa More test answers on https://studyhippo.com/chapter-49-drugs-used-to-treat-anemias/

The nurse is caring for a client with chronic renal failure and is assessing the client’s urine output for the shift. In calculating the expected urine output, the nurse knows that the body produces _______ mL of urine per minute.

1. The kidneys produce approximately 1 mL of urine each minute. More test answers on https://studyhippo.com/nursing-pharm-ch-35-diuretic-therapy/

* A client with chronic renal failure has been prescribed diuretics. What are some important nursing activities for this client’s care? (Select all that apply.) a) Check for swallowing problems b) Check temperature regularly c) Monitor intake and output d) Check hydration status e) Monitor client for anxiety

c) Monitor intake and output d) Check hydration status Temperature alteration, anxiety, and swallowing disorders are not normally associated with the administration of diuretics. The accurate measurement of intake and urine output is significant since diuretics increase urine excretion of both water and electrolytes. Understanding Diuretics can affect hydration status. More test answers on https://studyhippo.com/fluid-and-electrolyte-imbalance-acute-renal-failure-dialysis-practice-questions-with-rationale/

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Chronic Renal Failure Flashcards, test questions and answers

Discover flashcards, test exam answers, and assignments to help you learn more about Chronic Renal Failure and other subjects. Don’t miss the chance to use them for more effective college education. Use our database of questions and answers on Chronic Renal Failure and get quick solutions for your test.

What is Chronic Renal Failure?

Chronic Renal Failure (CRF) is a long-term, progressive decline in kidney function. It is most often caused by long-term damage to the kidneys, such as from diabetes or high blood pressure. It can also be caused by infections or certain medications. As the kidneys become less effective at filtering waste products and toxins, they build up in the body causing a variety of symptoms and risk factors.The primary symptom of CRF is fatigue due to anemia, which occurs when your red blood cell count falls below a normal level. Other signs and symptoms can include: loss of appetite, nausea/vomiting, weight loss, swelling (edema), difficulty concentrating, headaches and muscle cramps. Symptoms may vary based on how much kidney function remains. Early diagnosis and treatment are important for slowing the progression of CRF and reducing potential complications such as cardiovascular disease or even death. This includes controlling any underlying conditions such as diabetes or high blood pressure that may have contributed to CRF development in the first place. Also important is managing fluid intake to reduce strain on damaged kidneys; medication that helps control electrolyte balance; diet modifications; vitamin D supplementation if necessary; avoiding certain drugs known to impair kidney function; regular physical activity; stress management techniques; and/or dialysis treatments if needed for severe cases of CRF (i.e., end-stage renal disease). It’s essential for those with chronic renal failure to monitor their health closely with regular doctor visits so that any changes can be identified early on before they become more serious issues.