Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A nurse is caring for patient who is scheduled for nephrectomy due to a renal cell carcinoma of the right kidney. It appears that the left kidney is normal. The nurse observes that the patient is anxious and in doubt whether dialysis will ultimately be a necessity. The nurse should plan to use which information in discussing this with the patient?
  1. Dialysis could become likely, but it depends on how the patient complies with restrictions after the surgery
  2. One kidney is adequate to meet the needs of the body, so long as it has a normal function
  3. There is likelihood that the patient will need dialysis within the next 3-10 years
  4. There is no need for dialysis because of the nature of the surgery
Explanation
Answer - B - When discussing this with the patient, the nurse should explain that one kidney is adequate to meet the needs of the body, so long as it has a normal function. This patient needs emotional support and reassurance that the remaining kidney should be able to fully meet the body’s metabolic needs.
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