The nurse recognizes that the risk for dehydration in the elderly ...

[Mimi]

The nurse recognizes that the risk for dehydration in the elderly increases significantly due to which age-related change in renal function?
 
  1. decreased ability of the kidney to concentrate urine
  2. hypoplasia
  3. presence of renal cysts
  4. reduced clearance of drugs excreted by the kidney

Question 2

At the conclusion of a health history the nurse determines that a patient is at risk for kidney cancer. What did the nurse assess to make this clinical decision?
 
  Select all that apply.
  1. obesity
  2. over 55 years of age
  3. genetic predisposition
  4. female
  5. bladder calculi

[covalentbond]

Answer to Question 1

Correct Answer: 1
Age-related changes in the kidney include the decreased ability to concentrate urine and compensate for increased or decreased salt intake. When this is combined with diminished effectiveness of antidiuretic hormone (ADH) and a reduced thirst response, both age-related, the elderly patient's risk for dehydration increases. Hypoplasia is a congenital renal disorder; renal cysts are hereditary. Decreased glomerular filtration rate (GFR) which is an age-related change in renal function results in reduced clearance of drugs excreted through the kidneys.

Answer to Question 2

Correct Answer: 1, 2, 3
Risk factors for the development of kidney cancer include obesity, age greater than 55, and having a genetic predisposition to the disease. Males are affected more than females by a 2:1 ratio. Bladder calculi are not identified as increasing the risk of kidney cancer.

[Mimi]

Excellent

[tranoy]

Gracias!