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12. The client for intermittent self-catheterization is concerned with the cost of materials for the procedure. Which of the following is the most appropriate response by the nurse?
a) I will refer you to social welfare department
b) you should be more concerned with your health rather than the cost of materials
c) the materials can be reused if properly cleaned and safely kept
d) you better discuss your concern with your primary health care provider
13. A client has been diagnosed to have chronic renal failure. Sodium polysterene sulfonate (exchange resin kayexalate) is prescribed. The action of the medication is that it releases
a) bicarbonate in exchange for primarily sodium ions
b) sodium ions in exchange for primarily bicarbonate ions
c) sodium ions in exchange for primarily potassium ions
d) potassium ions in exchange for primarily sodium ions
14. Which of the following problems is expected in a client who is in end-stage renal failure?
a) anemia
b) thalassemia
c) renal calculi
d) hypotension
15. Which of the following client responses shows a correct understanding of continuous ambulatory peritoneal dialysis (CAPD)?
a) I am expected to perform the procedure at home
b) the procedure lasts for one hour
c) I have to sit and raise my legs during the procedure
d) I have to go to the hospital for this procedure
ANSWERS AND RATIONALE
12) C
- intermittent self-catheterization involves clean technique. The client should wash the catheter with warm soapy water. This catheter can be used repeatedly.
13) C
- as sodium is released from exchange resin kayexalate, potassium ions will be excreted. This will lower serum potassium levels.
14) A
- the damaged kidney are unable to secrete erythropoietin adequately. There is decreased production of RBC in the bone marrow which leads to severe anemia.
15) A
- CAPD is done by the client.
Related Topics:
- Online Nursing Practice Test about Renal Disorders (16-20)
- Go back to Online Nursing Practice Test about Renal Disorders (1-7) to start the test from the beginning.
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