Author Question: During the assessment the nurse suspects a patient with injuries from a motor vehicle crash ... (Read 108 times)

meagbuch · **on:** Jun 25, 2018

During the assessment the nurse suspects a patient with injuries from a motor vehicle crash sustained kidney trauma. What did the nurse assess to make this clinical decision?

Select all that apply.

1. Turner sign
2. nausea and vomiting
3. microscopic hematuria
4. blood pressure 88/58 mm Hg
5. heart rate 118 beats per minute

Question 2

A patient recovering from a total nephrectomy is being discharged. What should the nurse instruct the patient about care at home?

Select all that apply.
1. Avoid contact sports and falls.
2. Older males should schedule routine screening exams for prostatic hypertrophy.
3. Monitor weight.
4. Monitor for signs of rejection.
5. Maintain prescribed fluid restrictions.

raenoj · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4, 5
In kidney trauma retroperitoneal bleeding from the kidney may cause Turner sign, a bluish discoloration of the flank. The primary manifestation of kidney trauma includes microscopic hematuria. In kidney trauma signs of shock such as hypotension and tachycardia can occur. Nausea and vomiting are not manifestations of kidney trauma.

Answer to Question 2

Correct Answer: 1, 2
Home care teaching focuses on protecting the remaining kidney by avoiding contact sports and using measures to prevent motor vehicle accidents and falls that could damage it. Older male patients should know manifestations of prostatic hypertrophy and schedule routine screening exams. Monitoring weight, noting any signs of rejection, and maintaining prescribed fluid restrictions are concerns for the patient after a kidney transplant.