Author Question: The patient has been diagnosed with chronic renal failure and is receiving hydrochlorothiazide ... (Read 33 times)

SO00 · **on:** Jul 23, 2018

The patient has been diagnosed with chronic renal failure and is receiving hydrochlorothiazide (HCTZ).

The nurse has taught the patient about the importance of kidney function, and evaluates that learning has occurred when the patient makes which statements?
1. Kidneys help my heart by balancing potassium.
2. Kidneys balance the fluid and electrolytes in my body.
3. Kidneys keep blood pressure from getting too low.
4. Kidneys help decrease infections by excreting bacteria.
5. Kidneys help regulate the oxygen levels in my blood.

Question 2

The nurse is reviewing the adverse effects associated with statins with a patient who has recently been started on this classification of medication to reduce blood cholesterol levels.

The nurse knows the patient has understood the teaching when the patient states that serious adverse effects associated with statins include
1. headache.
2. abdominal pain.
3. myopathy.
4. muscle or joint pain.
5. rhabdomyolysis.

kalskdjl1212 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale: The kidneys are the primary organs for regulating fluid and electrolyte balance. The kidneys are the primary organs for regulating potassium balance. They secrete rennin, which helps to regulate blood pressure. The kidneys do not affect serum oxygen levels. The kidneys do not have any impact on bacterial infections.

Answer to Question 2

Correct Answer: 3,5
Rationale 1: A headache is an example of a minor adverse effect associated with statins.
Rationale 2: Abdominal pain is an example of a minor adverse effect associated with statins.
Rationale 3: Severe myopathy is a rare but serious adverse effect associated with statins.
Rationale 4: Muscle or joint pain is an example of a minor adverse effect associated with statins.
Rationale 5: Rhabdomyolysis is an example of a rare but serious adverse effect associated with statins.