Author Question: A 24-year-old man is currently in a rehabilitation facility following a spinal cord injury at level ... (Read 139 times)

c0205847 · **on:** Jun 25, 2018

A 24-year-old man is currently in a rehabilitation facility following a spinal cord injury at level T2.

He is discussing his long-term options for continence management. Which of the following statements by the client demonstrates he has a clear understanding of the issue?
A)
Self-catheterization can limit the recovery of my neural pathways that control my voiding if I do it too often.
B)
It's critical that intermittent catheterization be performed using sterile technique.
C)
An indwelling catheter certainly would work well, but it comes with a number of risks and possible complications.
D)
An indwelling urethral catheter is the option that best minimizes my chance of a urinary tract infection.

Question 2

A female client with suspected glomerular disease has been referred to a nephrologist. The nurse knows that which of the following clinical manifestations may be present with the diagnosis of acute nephritic syndrome? Select all that apply.

A)
Sudden onset of hematuria
B)
Proteinuria
C)
Flank pain
D)
Excess urine output
E)
Edema

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

Answer to Question 1

Ans:
C

Feedback:

Indwelling catheters carry a risk of infections and kidney stones. Catheterization does not influence the activity of the neural pathways, and intermittent catheterization can be performed using clean technique. Indwelling urethral catheters carry a high risk of urinary tract infections.

Answer to Question 2

Ans:
A, B, E

Feedback:

In its most dramatic form, the acute nephritic syndrome is characterized by sudden onset of hematuria, variable degrees of proteinuria, diminished GFR, oliguria, and signs of impaired renal function. Inflammatory processes damage the capillary wall. This damage to the capillary wall allows RBCs to escape into the urine and produce a decrease in GFR. Extracellular fluid accumulation, hypertension, and edema develop because of the decreased GFR. Flank pain is usually associated with kidney stones. Oliguria occurs rather than excess urine output.