Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
21. Following a nephrectomy, which complication does a client have the greatest risk of developing?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
21. Following a nephrectomy, which complication does a client have the greatest risk of developing?
. Altered nutrition related to NPO status and postoperative ileus.
. Possible kidney stones related to urinary stasis.
. Pedal and periorbital edema related to nephrotic syndrome.
. Possible altered gas exchange related to shallow breathing from pain.
Test-Taking Tip
Two options relate to the effects of surgery—decreased peristalsis and pain. Consider the one that all clients will experience—pain.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because postoperative ileus would not be expected to last more than a few days. Most people have nutritional stores to tolerate this early. Answer 2 is incorrect because one kidney has been removed and therefore could not develop stones. The other kidney has increased flow. Stasis would be unlikely. Answer 3 is incorrect because nephrotic syndrome occurs when the glomerulus is unable to conserve protein. This could not occur in the removed kidney and is unlikely to occur in the remaining kidney. Answer 4 is correct because the kidneys are located just under the diaphragm. Postoperative pain, particularly with deep breathing, would be anticipated. The client is therefore likely to do shallow breathing.