A client with an alteration in the renal system is demonstrating ...

[abern]

A client with an alteration in the renal system is demonstrating inconsistent blood pressure control. The nurse realizes that the substance produced by the kidneys that assists in blood pressure control is:
 
  1. antidiuretic hormone.
  2. erythropoietin.
  3. renin.
  4. vitamin D.

Question 2

A female client tells the nurse that she is planning on having plastic surgery to correct a minor facial defect and then have her breasts done.
 
  The nurse would identify which of the following nursing diagnoses as being appropriate for this client?
  1. Ineffective coping
  2. Anxiety
  3. Hopelessness
  4. Body dysmorphic disorder

[nyrave]

Answer to Question 1

3
Renin is produced by the kidneys and helps control blood pressure. Antidiuretic hormone is produced by the posterior pituitary. Erythropoietin stimulates the production of red blood cells. Vitamin D is activated by the kidneys and influences calcium metabolism.

Answer to Question 2

4
Body dysmorphic disorder is characterized by a preoccupation with body image and the slight or imagined defect in appearance that leads to impairment or distress in functioning in social situations. Body dysmorphic disorder would be appropriate for the client who is planning on having plastic surgery for a minor facial defect and then breast augmentation surgery. The other nursing diagnoses would not be appropriate for the client at this time.