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MCQ_____UTI
1-A client with suspected renal insufficiency is admitted to the hospital.
After the nurse explains the diagnostic tests, the client asks which part of the
kidney "does not work."
‫الم‬ ‫تشرح‬ ‫أن‬ ‫بعد‬ .‫المستشفى‬ ‫إلى‬ ‫به‬ ‫المشتبه‬ ‫الكلوي‬ ‫بالقصور‬ ‫المصاب‬ ‫العميل‬ ‫إدخال‬
‫االختبارات‬ ‫مرضة‬
."‫يعمل‬ ‫"ال‬ ‫الكلية‬ ‫من‬ ‫جزء‬ ‫أي‬ ‫العميل‬ ‫يسأل‬ ، ‫التشخيصية‬
A. The glomerulus
B. Bowman's capsule
C. The nephron ‫النيفرون‬
D. The tubular system
---------------------
2-The nurse teaches the female patient who has frequent urinary tract
infections that she should:
:‫عليها‬ ‫أن‬ ‫البولية‬ ‫المسالك‬ ‫في‬ ‫متكررة‬ ‫بعدوى‬ ‫المصابة‬ ‫المريضة‬ ‫بتعليم‬ ‫الممرضة‬ ‫تقوم‬
A. Urinate after sexual intercourse. ‫الجماع‬ ‫بعد‬ ‫التبول‬
B. Take tub baths with bubble bath.
C. Take prophylactic sulfonamides for the rest of her life.
D. Restrict fluid intake to prevent the need for frequent voiding.
---------------------
3-renal stone formation are common to occur in patient with:
:‫من‬ ‫يعانون‬ ‫الذين‬ ‫المرضى‬ ‫في‬ ‫الكلى‬ ‫حصوات‬ ‫تكوين‬ ‫حدوث‬ ‫الشائع‬ ‫من‬
a. Gout. ‫النقرس‬
b. Osteomylitis.
c. Low back pain.
d. Rheumatoid arthritis
---------------------
4-Patient with renal failure is admitted to the hospital with pneumonia. He's
being treated with gentamicin (Garamycin), which can be nephrotoxic.
Which laboratory value should be closely monitored?
‫بالجنتاميسين‬ ‫عالجه‬ ‫يتم‬ .‫رئوي‬ ‫بالتهاب‬ ‫ا‬ً‫ب‬‫مصا‬ ‫المستشفى‬ ‫إلى‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫إدخال‬ ‫يتم‬
‫كثب؟‬ ‫عن‬ ‫مراقبتها‬ ‫يجب‬ ‫التي‬ ‫المختبر‬ ‫قيمة‬ ‫ما‬ .‫للكلية‬ ‫ا‬ً‫م‬‫سا‬ ‫يكون‬ ‫أن‬ ‫يمكن‬ ‫والذي‬ ، )‫(جاراميسين‬
A. Sodium level.
B. Alkaline phosphatase.
C. White blood cell (WBC) count.
D. Blood urea nitrogen ‫الدم‬ ‫في‬ ‫اليوريا‬ ‫نيتروجين‬
---------------------
5- Onefactorthat contributes toanincreased incidenceofurinary tract infectionin
womenis:
2
‫التي‬ ‫العوامل‬ ‫أحد‬
:‫هو‬ ‫النساء‬ ‫عند‬ ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫اإلصابة‬ ‫زيادة‬ ‫في‬ ‫تساهم‬
A. Small bladder.
B. Relaxation of pelvicfloor muscles.
C. Tightmuscular support atthebladder sphincter.
D. Shorting ofurethra. ‫البول‬‫مجرى‬‫قصر‬
---------------------
6- The most common of UTI. Is :
: ‫هو‬ .‫البولية‬ ‫المسالك‬ ‫التهاب‬ ‫من‬ ‫شيوعا‬ ‫األكثر‬
A. Cystities.‫المثانة‬ ‫التهاب‬
B. Pylonephrities.
C. Ureterites.
D- Urethrities.
---------------------
7-Dysuria, hesitancy, urine retention and external genital organ pain usually
occur with stones at:
‫مع‬ ‫الخارجية‬ ‫التناسلية‬ ‫األعضاء‬ ‫وآالم‬ ، ‫البول‬ ‫واحتباس‬ ، ‫والتردد‬ ، ‫البول‬ ‫عسر‬ ‫يحدث‬ ‫ما‬ ً‫ة‬‫عاد‬
:‫في‬ ‫الحصوات‬
A. Uretropelvic junction.
B. Uretruvesical junction.
C. Lower part of ureter.
D. Bladder neck & urethral canal. ‫البول‬ ‫مجرى‬ ‫وقناة‬ ‫المثانة‬ ‫عنق‬
---------------------
8-A client is admitted to the hospital with benign prostatic hyperplasia, the
nurse most relevant assessment would be:
‫صلة‬ ‫األكثر‬ ‫التقييم‬ ‫وسيكون‬ ، ‫الحميد‬ ‫البروستاتا‬ ‫تضخم‬ ‫بسبب‬ ‫المستشفى‬ ‫إلى‬ ‫العميل‬ ‫إدخال‬ ‫يتم‬
:‫هو‬ ‫للممرضة‬
A. Flank pain radiating in the groin
B. Distention of the lower abdomen (Answer) ‫البطن‬ ‫اسفل‬ ‫انتفاخ‬
C. Perineal edema
d-Urethral discharge
---------------------
9. A 55 year old male patient is diagnosed with chronic kidney disease. The
patient’s recent GFR was 25 mL/min. What stage of chronic kidney disease
is this known as?
‫العمر‬ ‫من‬ ‫يبلغ‬ ‫مريض‬ ‫تشخيص‬ ‫تم‬
55
‫األخير‬ ‫الكبيبي‬ ‫الترشيح‬ ‫معدل‬ ‫كان‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫ا‬ً‫م‬‫عا‬
‫للمريض‬
25
‫بهذا؟‬ ‫المعروفة‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫مرحلة‬ ‫هي‬ ‫ما‬ .‫دقيقة‬ / ‫مل‬
A. Stage 1
B. Stage 3
C. Stage 4 ‫الرابعة‬ ‫المرحلة‬
3
D. Stage 5
---------------------
10. A patient with CKD has a low erythropoietin (EPO) level. The patient is
at risk for?
( ‫إرثروبويتين‬ ‫مستوى‬ ‫انخفاض‬ ‫من‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬ ‫يعاني‬
EPO
‫في‬ ‫المريض‬ .)
‫خطر؟‬
A. Hypercalcemia
B. Anemia ‫الدم‬ ‫فقر‬
C. Blood clots
D. Hyperkalemia
---------------------
11. Which patient below is NOT at risk for developing chronic kidney
disease?
‫المزمنة؟‬ ‫الكلى‬ ‫بأمراض‬ ‫اإلصابة‬ ‫لخطر‬ ‫ًا‬‫ض‬‫معر‬ ‫ليس‬ ‫أدناه‬ ‫المريض‬ ‫أي‬
A. A 58 year old female with uncontrolled hypertension.
B. A 69 year old male with diabetes mellitus.
C. A 45 year old female with polycystic ovarian disease.
‫العمر‬ ‫من‬ ‫تبلغ‬ ‫أنثى‬
45
.‫المبايض‬ ‫تكيس‬ ‫بمرض‬ ‫مصابة‬ ‫ا‬ً‫م‬‫عا‬
D. A 78 year old female with an intrarenal injury.
---------------------
12. A patient with Stage 5 CKD is experiencing extreme pruritus and has
several areas of crystallized white deposits on the skin. As the nurse, you
know this is due to excessive amounts of what substance found in the blood?
‫مناطق‬ ‫عدة‬ ‫ولديه‬ ‫شديدة‬ ‫حكة‬ ‫من‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫من‬ ‫الخامسة‬ ‫بالمرحلة‬ ‫المصاب‬ ‫المريض‬ ‫يعاني‬
‫من‬ ‫الزائدة‬ ‫الكميات‬ ‫بسبب‬ ‫هذا‬ ‫أن‬ ‫تعرف‬ ، ‫ممرضة‬ ‫بصفتك‬ .‫الجلد‬ ‫على‬ ‫المتبلورة‬ ‫البيضاء‬ ‫الرواسب‬ ‫من‬
‫الدم؟‬ ‫في‬ ‫الموجودة‬ ‫المادة‬
A. Calcium
B. Urea ‫اليوريا‬
C. Phosphate
D. Erythropoietin
---------------------
13. A patient with stage 4 chronic kidney disease asks what type of diet they
should follow. You explain the patient should follow a:
‫يسأل‬
‫المرحلة‬ ‫في‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬
4
‫الذي‬ ‫الغذائي‬ ‫النظام‬ ‫نوع‬ ‫عن‬
:‫يتبع‬ ‫أن‬ ‫يجب‬ ‫المريض‬ ‫أن‬ ‫تشرح‬ ‫أنت‬ .‫اتباعه‬ ‫عليه‬ ‫يجب‬
A. Low protein, low sodium, low potassium, low phosphate diet
‫الفو‬ ‫منخفض‬ ‫غذائي‬ ‫نظام‬ ، ‫البوتاسيوم‬ ‫منخفض‬ ، ‫الصوديوم‬ ‫منخفض‬ ، ‫البروتين‬ ‫قليل‬
‫سفات‬
B. High protein, low sodium, low potassium, high phosphate diet
4
C. Low protein, high sodium, high potassium, high phosphate diet
D. Low protein, low sodium, low potassium, high phosphate diet
---------------------
14 . A common marker of chronic kidney disease (CKD) is
( ‫المزمن‬ ‫الكلى‬ ‫لمرض‬ ‫شائعة‬ ‫عالمة‬
CKD
‫هي‬ )
A) rash.
B) hematuria.
C) proteinuria. ‫بروتينية‬
D) bacteremia.
---------------------
15.The nurse determines that a patient with acute renal failure is in the
recovery phase when the patient experiences
‫المريض‬ ‫يعاني‬ ‫عندما‬ ‫الشفاء‬ ‫مرحلة‬ ‫في‬ ‫حاد‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫أن‬ ‫الممرضة‬ ‫تحدد‬
a. A return to normal weight
b. A urine output of 3700 mL/day
c. Decreasing BUN and creatinine levels
‫مستويات‬ ‫خفض‬
BUN
‫والكرياتينين‬
d. Decreasing sodium and potassium levels
---------------------
16- In replying to a patient’s questions about the seriousness of her chronic
kidney disease, the nurse knows that the stage of chronic kidney disease is
based on
‫مرض‬ ‫مرحلة‬ ‫أن‬ ‫الممرضة‬ ‫تعلم‬ ، ‫لديها‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫خطورة‬ ‫حول‬ ‫مريضة‬ ‫أسئلة‬ ‫على‬ ‫الرد‬ ‫في‬
‫ا‬ ‫الكلى‬
‫على‬ ‫تعتمد‬ ‫لمزمن‬
a. The total daily urine output
b. The GFR ‫الكبيبي‬ ‫الترشيح‬ ‫معدل‬
c. Serum creatinine and urea levels
d. The degree of altered mental status
5
MCQ______UTI
1- Which of the following symptoms do you expect to see in a patient
diagnosed with acute pyelonephritis?
‫الحاد؟‬ ‫والكلية‬ ‫الحويضة‬ ‫بالتهاب‬ ‫مصاب‬ ‫مريض‬ ‫في‬ ‫تراها‬ ‫أن‬ ‫تتوقع‬ ‫التالية‬ ‫األعراض‬ ‫من‬ ‫أي‬
A. Jaundice and flank pain
B. Costovertebral angle tenderness and chills ‫وقشعريرة‬ ‫الفقري‬ ‫العمود‬ ‫زاوية‬ ‫حنان‬
C. Burning sensation on urination
D. Polyuria and nocturia
---------------------
2-Which patient is at greatest risk for developing a urinary tract infection
(UTI)?
( ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫لإلصابة‬ ‫عرضة‬ ‫األكثر‬ ‫المريض‬ ‫هو‬ ‫من‬
UTI
‫)؟‬
A. A 35 y.o. woman with a fractured wrist
B. A 20 y.o. woman with asthma
C. A 50 y.o. postmenopausal woman ‫اليأس‬ ‫سن‬ ‫بعد‬ ‫امرأة‬ ‫سنة‬ ‫خمسين‬
D. A 28 y.o. with angina
---------------------
3-The most common early sign of kidney disease is:
‫لمرض‬ ‫ًا‬‫ع‬‫شيو‬ ‫األكثر‬ ‫المبكرة‬ ‫العالمة‬
:‫هي‬ ‫الكلى‬
A. Sodium retention
B. Elevated BUN level ‫مرتفع‬ BUN ‫مستوى‬
C. Development of metabolic acidosis
D. Inability to dilute or concentrate urine
---------------------
4-What is the priority nursing diagnosis with your patient diagnosed with
end-stage renal disease?
‫مراحله‬ ‫في‬ ‫كلوي‬ ‫بمرض‬ ‫تشخيصه‬ ‫تم‬ ‫الذي‬ ‫مريضك‬ ‫مع‬ ‫األولوية‬ ‫ذو‬ ‫التمريضي‬ ‫التشخيص‬ ‫هو‬ ‫ما‬
‫األخيرة؟‬
A. Activity intolerance
B. Fluid volume excess ‫السوائل‬ ‫حجم‬ ‫زيادة‬
C. Knowledge deficit
D. Pain
---------------------
5-Immunosuppression following kidney transplantation is continued:
:‫الكلى‬ ‫زراعة‬ ‫بعد‬ ‫المناعة‬ ‫كبت‬ ‫استمرار‬
A. For life ‫الحياة‬ ‫ألجل‬
6
B. 24 hours after transplantation
C. A week after transplantation
D. Until the kidney is not anymore rejected
---------------------
6-The nurse teaches the female patient who has frequent urinary tract
infections that she should:
:‫عليها‬ ‫أن‬ ‫البولية‬ ‫المسالك‬ ‫في‬ ‫متكررة‬ ‫بعدوى‬ ‫المصابة‬ ‫المريضة‬ ‫بتعليم‬ ‫الممرضة‬ ‫تقوم‬
A. Urinate after sexual intercourse. ‫الجماع‬ ‫بعد‬ ‫التبول‬
B. Take tub baths with bubble bath.
C. Take prophylactic sulfonamides for the rest of her life.
D. Restrict fluid intake to prevent the need for frequent voiding.
---------------------
7- Patient with renal failure is admitted to the hospital with pneumonia. He's
being treated with gentamicin (Garamycin), which can be nephrotoxic.
Which laboratory value should be closely monitored?
‫بالجنتاميسي‬ ‫عالجه‬ ‫يتم‬ .‫رئوي‬ ‫بالتهاب‬ ‫ا‬ً‫ب‬‫مصا‬ ‫المستشفى‬ ‫إلى‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫إدخال‬ ‫يتم‬
‫ن‬
‫كثب؟‬ ‫عن‬ ‫مراقبتها‬ ‫يجب‬ ‫التي‬ ‫المختبر‬ ‫قيمة‬ ‫ما‬ .‫للكلية‬ ‫ا‬ً‫م‬‫سا‬ ‫يكون‬ ‫أن‬ ‫يمكن‬ ‫والذي‬ ، )‫(جاراميسين‬
A. Sodium level.
B. Alkaline phosphatase.
C. White blood cell (WBC) count.
D. Blood urea nitrogen ‫الدم‬ ‫في‬ ‫اليوريا‬ ‫نيتروجين‬
---------------------
8- Onefactorthat contributes toanincreased incidenceofurinary tract infectionin
womenis:
:‫هو‬ ‫النساء‬ ‫عند‬ ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫اإلصابة‬ ‫زيادة‬ ‫في‬ ‫تساهم‬ ‫التي‬ ‫العوامل‬ ‫أحد‬
A. Small bladder.
B. Relaxation of pelvicfloor muscles.
C. Tightmuscular support atthebladder sphincter.
D. Shorting ofurethra. ‫البول‬‫مجرى‬‫قصر‬
---------------------
9. A client is admitted to the hospital with a diagnosis of renal calculi. The
client is experiencing severe flank pain and nausea; the temperature is 100.6
° F (38.1 ° C). Which of the following would be a priority outcome for this
client?
‫في‬ ‫شديدة‬ ‫آالم‬ ‫من‬ ‫العميل‬ ‫يعاني‬ .‫الكلى‬ ‫بحصوات‬ ‫اإلصابة‬ ‫بتشخيص‬ ‫المستشفى‬ ‫إلى‬ ‫العميل‬ ‫إدخال‬ ‫يتم‬
‫الحرارة‬ ‫درجة‬ ‫كانت‬ .‫وغثيان‬ ‫الخاصرة‬
100.6
‫درجة‬
( ‫فهرنهايت‬
38.1
‫يلي‬ ‫مما‬ ‫أي‬ .)‫مئوية‬ ‫درجة‬
‫العميل؟‬ ‫لهذا‬ ‫أولوية‬ ‫ذات‬ ‫نتيجة‬ ‫سيكون‬
7
a. Prevention of urinary tract complications.
b. Alleviation of nausea.
c. Alleviation of pain. ‫اآلالم‬ ‫تسكين‬
d. Maintenance of fluid and electrolyte balance.
MCQ_______UTI
A 65 year old male patient has a glomerular filtration rate of 55 mL/min.
The patient has a history of uncontrolled hypertension and coronary artery
disease. You're assessing the new medication orders received for this
patient. Which medication ordered by the physician will help treat the
patient's hypertension along with providing a protective mechanism to the
kidneys *?
‫العمر‬ ‫من‬ ‫يبلغ‬ ‫مريض‬
65
‫يبلغ‬ ‫كبيبي‬ ‫ترشيح‬ ‫معدل‬ ‫لديه‬ ‫ا‬ً‫م‬‫عا‬
55
‫من‬ ‫تاريخ‬ ‫لديه‬ ‫المريض‬ .‫دقيقة‬ / ‫مل‬
‫المن‬ ‫غير‬ ‫الدم‬ ‫ضغط‬ ‫ارتفاع‬
‫تلقيتها‬ ‫التي‬ ‫الجديدة‬ ‫األدوية‬ ‫طلبات‬ ‫تقيم‬ ‫أنت‬ .‫التاجي‬ ‫الشريان‬ ‫ومرض‬ ‫ضبط‬
‫لدى‬ ‫الدم‬ ‫ضغط‬ ‫ارتفاع‬ ‫عالج‬ ‫في‬ ‫ستساعد‬ ‫والتي‬ ‫الطبيب‬ ‫يطلبها‬ ‫التي‬ ‫األدوية‬ ‫هي‬ ‫ما‬ .‫المريض‬ ‫لهذا‬
* ‫للكلى؟‬ ‫وقائية‬ ‫آلية‬ ‫توفير‬ ‫مع‬ ‫المريض‬
A. Lisinopril ‫يسينوبريل‬
B. Metoprolol
C. Amlodipine
D. Verapamil
---------------------
Your patient with chronic kidney disease is scheduled for dialysis in the
morning. While examining the patient's telemetry strip, you note tall peaked
T-waves. You notify the physician who orders a STAT basic metabolic panel
(BMP). What result from the BMP confirms the EKG abnormality *?
‫شريط‬ ‫فحص‬ ‫أثناء‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫لمريضك‬ ‫الصباح‬ ‫في‬ ‫الكلى‬ ‫غسيل‬ ‫إجراء‬ ‫المقرر‬ ‫من‬
‫موجات‬ ‫وجود‬ ‫تالحظ‬ ، ‫بالمريض‬ ‫الخاص‬ ‫بعد‬ ‫عن‬ ‫القياس‬
T
‫الطبيب‬ ‫إخطار‬ ‫عليك‬ ‫يجب‬ .‫الذروة‬ ‫عالية‬
‫األساسية‬ ‫الغذائي‬ ‫التمثيل‬ ‫لوحة‬ ‫يطلب‬ ‫الذي‬
STAT (BMP)
‫نتيجة‬ ‫هي‬ ‫ما‬ .
BMP
‫وجود‬ ‫تؤكد‬ ‫التي‬
* ‫القلب؟‬ ‫كهربية‬ ‫مخطط‬ ‫في‬ ‫خلل‬
A. Phosphate 3.2 mg/dL
B. Calcium 9.3 mg/dL
C. Magnesium 2.2 mg/dL
D. Potassium 7.1 mEq/L‫البوتاسيوم‬
---------------------
You are providing education to a patient with CKD about calcium
acetate. Which statement by the patient demonstrates they understood your
teaching about this medication? Select-all-that-apply *:
8
‫أدلى‬ ‫التي‬ ‫العبارة‬ ‫هي‬ ‫ما‬ .‫الكالسيوم‬ ‫أسيتات‬ ‫حول‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫مصاب‬ ‫لمريض‬ ً‫ا‬‫تعليم‬ ‫تقدم‬ ‫أنت‬
*:‫ينطبق‬ ‫ما‬ ‫كل‬ ‫اختر‬ ‫الدواء؟‬ ‫هذا‬ ‫حول‬ ‫لتعاليمك‬ ‫فهمهم‬ ‫توضح‬ ‫والتي‬ ‫المريض‬ ‫بها‬
A .This medicatio will help keep my calcium level normal.
B. "I will take this medication with meals or immediately after.
.‫مباشرة‬ ‫بعدها‬ ‫أو‬ ‫الطعام‬ ‫وجبات‬ ‫مع‬ ‫الدواء‬ ‫هذا‬ ‫أتناول‬ ‫سوف‬
C. "It is important I consume high amounts of oatmeal, poultry, fish, and dairy
products while taking this medication.
D. "This medication will help prevent my phosphate level from increasing.
.‫لدي‬ ‫الفوسفات‬ ‫مستوى‬ ‫زيادة‬ ‫منع‬ ‫في‬ ‫الدواء‬ ‫هذا‬ ‫سيساعد‬
---------------------
While assessing morning labs on your patient with CKD. You note the
patient's phosphate level is 6.2 mg/dL. As the nurse, you expect to find the
calcium level to be *?
‫لدى‬ ‫الفوسفات‬ ‫مستوى‬ ‫أن‬ ‫تالحظ‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫لمريضك‬ ‫الصباحية‬ ‫المعامل‬ ‫تقييم‬ ‫أثناء‬
‫هو‬ ‫المريض‬
6.2
* ‫الكالسيوم؟‬ ‫مستوى‬ ‫يكون‬ ‫أن‬ ‫تتوقع‬ ‫هل‬ ، ‫ممرضة‬ ‫بصفتك‬ .‫ديسيلتر‬ / ‫مجم‬
A. Elevated
B. Low ‫قليل‬
C. Normal
D. Same as the phosphate level
---------------------
A patient with stage 4 chronic kidney disease asks what type of diet they
should follow. You explain the patient should follow a *:
‫المرحلة‬ ‫في‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬ ‫يسأل‬
4
‫الذي‬ ‫الغذائي‬ ‫النظام‬ ‫نوع‬ ‫عن‬
‫ع‬ ‫يجب‬
* :‫يتبع‬ ‫أن‬ ‫المريض‬ ‫على‬ ‫تشرح‬ ‫أنت‬ .‫اتباعه‬ ‫ليه‬
A. Low protein, low sodium, low potassium, low phosphate diet
‫الفوسفات‬ ‫منخفض‬ ‫غذائي‬ ‫نظام‬ ، ‫البوتاسيوم‬ ‫منخفض‬ ، ‫الصوديوم‬ ‫منخفض‬ ، ‫البروتين‬ ‫قليل‬
B. High protein, low sodium, low potassium, high phosphate diet
C. Low protein, high sodium, high potassium, high phosphate diet
D. Low protein, low sodium, low potassium, high phosphate diet
---------------------
The kidneys are responsible for performing all the following functions
EXCEPT *?
‫عن‬ ‫مسؤولة‬ ‫الكلى‬
* ‫باستثناء؟‬ ‫التالية‬ ‫الوظائف‬ ‫جميع‬ ‫أداء‬
A. Activating Vitamin D
B. Secreting Renin
C. Secreting Erythropoietin
D. Maintaining cortisol production ‫الكورتيزول‬ ‫انتاج‬ ‫على‬ ‫الحفاض‬

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UTI 1.pdf urinary tract infection for students nursing

  • 1. 1 MCQ_____UTI 1-A client with suspected renal insufficiency is admitted to the hospital. After the nurse explains the diagnostic tests, the client asks which part of the kidney "does not work." ‫الم‬ ‫تشرح‬ ‫أن‬ ‫بعد‬ .‫المستشفى‬ ‫إلى‬ ‫به‬ ‫المشتبه‬ ‫الكلوي‬ ‫بالقصور‬ ‫المصاب‬ ‫العميل‬ ‫إدخال‬ ‫االختبارات‬ ‫مرضة‬ ."‫يعمل‬ ‫"ال‬ ‫الكلية‬ ‫من‬ ‫جزء‬ ‫أي‬ ‫العميل‬ ‫يسأل‬ ، ‫التشخيصية‬ A. The glomerulus B. Bowman's capsule C. The nephron ‫النيفرون‬ D. The tubular system --------------------- 2-The nurse teaches the female patient who has frequent urinary tract infections that she should: :‫عليها‬ ‫أن‬ ‫البولية‬ ‫المسالك‬ ‫في‬ ‫متكررة‬ ‫بعدوى‬ ‫المصابة‬ ‫المريضة‬ ‫بتعليم‬ ‫الممرضة‬ ‫تقوم‬ A. Urinate after sexual intercourse. ‫الجماع‬ ‫بعد‬ ‫التبول‬ B. Take tub baths with bubble bath. C. Take prophylactic sulfonamides for the rest of her life. D. Restrict fluid intake to prevent the need for frequent voiding. --------------------- 3-renal stone formation are common to occur in patient with: :‫من‬ ‫يعانون‬ ‫الذين‬ ‫المرضى‬ ‫في‬ ‫الكلى‬ ‫حصوات‬ ‫تكوين‬ ‫حدوث‬ ‫الشائع‬ ‫من‬ a. Gout. ‫النقرس‬ b. Osteomylitis. c. Low back pain. d. Rheumatoid arthritis --------------------- 4-Patient with renal failure is admitted to the hospital with pneumonia. He's being treated with gentamicin (Garamycin), which can be nephrotoxic. Which laboratory value should be closely monitored? ‫بالجنتاميسين‬ ‫عالجه‬ ‫يتم‬ .‫رئوي‬ ‫بالتهاب‬ ‫ا‬ً‫ب‬‫مصا‬ ‫المستشفى‬ ‫إلى‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫إدخال‬ ‫يتم‬ ‫كثب؟‬ ‫عن‬ ‫مراقبتها‬ ‫يجب‬ ‫التي‬ ‫المختبر‬ ‫قيمة‬ ‫ما‬ .‫للكلية‬ ‫ا‬ً‫م‬‫سا‬ ‫يكون‬ ‫أن‬ ‫يمكن‬ ‫والذي‬ ، )‫(جاراميسين‬ A. Sodium level. B. Alkaline phosphatase. C. White blood cell (WBC) count. D. Blood urea nitrogen ‫الدم‬ ‫في‬ ‫اليوريا‬ ‫نيتروجين‬ --------------------- 5- Onefactorthat contributes toanincreased incidenceofurinary tract infectionin womenis:
  • 2. 2 ‫التي‬ ‫العوامل‬ ‫أحد‬ :‫هو‬ ‫النساء‬ ‫عند‬ ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫اإلصابة‬ ‫زيادة‬ ‫في‬ ‫تساهم‬ A. Small bladder. B. Relaxation of pelvicfloor muscles. C. Tightmuscular support atthebladder sphincter. D. Shorting ofurethra. ‫البول‬‫مجرى‬‫قصر‬ --------------------- 6- The most common of UTI. Is : : ‫هو‬ .‫البولية‬ ‫المسالك‬ ‫التهاب‬ ‫من‬ ‫شيوعا‬ ‫األكثر‬ A. Cystities.‫المثانة‬ ‫التهاب‬ B. Pylonephrities. C. Ureterites. D- Urethrities. --------------------- 7-Dysuria, hesitancy, urine retention and external genital organ pain usually occur with stones at: ‫مع‬ ‫الخارجية‬ ‫التناسلية‬ ‫األعضاء‬ ‫وآالم‬ ، ‫البول‬ ‫واحتباس‬ ، ‫والتردد‬ ، ‫البول‬ ‫عسر‬ ‫يحدث‬ ‫ما‬ ً‫ة‬‫عاد‬ :‫في‬ ‫الحصوات‬ A. Uretropelvic junction. B. Uretruvesical junction. C. Lower part of ureter. D. Bladder neck & urethral canal. ‫البول‬ ‫مجرى‬ ‫وقناة‬ ‫المثانة‬ ‫عنق‬ --------------------- 8-A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be: ‫صلة‬ ‫األكثر‬ ‫التقييم‬ ‫وسيكون‬ ، ‫الحميد‬ ‫البروستاتا‬ ‫تضخم‬ ‫بسبب‬ ‫المستشفى‬ ‫إلى‬ ‫العميل‬ ‫إدخال‬ ‫يتم‬ :‫هو‬ ‫للممرضة‬ A. Flank pain radiating in the groin B. Distention of the lower abdomen (Answer) ‫البطن‬ ‫اسفل‬ ‫انتفاخ‬ C. Perineal edema d-Urethral discharge --------------------- 9. A 55 year old male patient is diagnosed with chronic kidney disease. The patient’s recent GFR was 25 mL/min. What stage of chronic kidney disease is this known as? ‫العمر‬ ‫من‬ ‫يبلغ‬ ‫مريض‬ ‫تشخيص‬ ‫تم‬ 55 ‫األخير‬ ‫الكبيبي‬ ‫الترشيح‬ ‫معدل‬ ‫كان‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫ا‬ً‫م‬‫عا‬ ‫للمريض‬ 25 ‫بهذا؟‬ ‫المعروفة‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫مرحلة‬ ‫هي‬ ‫ما‬ .‫دقيقة‬ / ‫مل‬ A. Stage 1 B. Stage 3 C. Stage 4 ‫الرابعة‬ ‫المرحلة‬
  • 3. 3 D. Stage 5 --------------------- 10. A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for? ( ‫إرثروبويتين‬ ‫مستوى‬ ‫انخفاض‬ ‫من‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬ ‫يعاني‬ EPO ‫في‬ ‫المريض‬ .) ‫خطر؟‬ A. Hypercalcemia B. Anemia ‫الدم‬ ‫فقر‬ C. Blood clots D. Hyperkalemia --------------------- 11. Which patient below is NOT at risk for developing chronic kidney disease? ‫المزمنة؟‬ ‫الكلى‬ ‫بأمراض‬ ‫اإلصابة‬ ‫لخطر‬ ‫ًا‬‫ض‬‫معر‬ ‫ليس‬ ‫أدناه‬ ‫المريض‬ ‫أي‬ A. A 58 year old female with uncontrolled hypertension. B. A 69 year old male with diabetes mellitus. C. A 45 year old female with polycystic ovarian disease. ‫العمر‬ ‫من‬ ‫تبلغ‬ ‫أنثى‬ 45 .‫المبايض‬ ‫تكيس‬ ‫بمرض‬ ‫مصابة‬ ‫ا‬ً‫م‬‫عا‬ D. A 78 year old female with an intrarenal injury. --------------------- 12. A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of crystallized white deposits on the skin. As the nurse, you know this is due to excessive amounts of what substance found in the blood? ‫مناطق‬ ‫عدة‬ ‫ولديه‬ ‫شديدة‬ ‫حكة‬ ‫من‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫من‬ ‫الخامسة‬ ‫بالمرحلة‬ ‫المصاب‬ ‫المريض‬ ‫يعاني‬ ‫من‬ ‫الزائدة‬ ‫الكميات‬ ‫بسبب‬ ‫هذا‬ ‫أن‬ ‫تعرف‬ ، ‫ممرضة‬ ‫بصفتك‬ .‫الجلد‬ ‫على‬ ‫المتبلورة‬ ‫البيضاء‬ ‫الرواسب‬ ‫من‬ ‫الدم؟‬ ‫في‬ ‫الموجودة‬ ‫المادة‬ A. Calcium B. Urea ‫اليوريا‬ C. Phosphate D. Erythropoietin --------------------- 13. A patient with stage 4 chronic kidney disease asks what type of diet they should follow. You explain the patient should follow a: ‫يسأل‬ ‫المرحلة‬ ‫في‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬ 4 ‫الذي‬ ‫الغذائي‬ ‫النظام‬ ‫نوع‬ ‫عن‬ :‫يتبع‬ ‫أن‬ ‫يجب‬ ‫المريض‬ ‫أن‬ ‫تشرح‬ ‫أنت‬ .‫اتباعه‬ ‫عليه‬ ‫يجب‬ A. Low protein, low sodium, low potassium, low phosphate diet ‫الفو‬ ‫منخفض‬ ‫غذائي‬ ‫نظام‬ ، ‫البوتاسيوم‬ ‫منخفض‬ ، ‫الصوديوم‬ ‫منخفض‬ ، ‫البروتين‬ ‫قليل‬ ‫سفات‬ B. High protein, low sodium, low potassium, high phosphate diet
  • 4. 4 C. Low protein, high sodium, high potassium, high phosphate diet D. Low protein, low sodium, low potassium, high phosphate diet --------------------- 14 . A common marker of chronic kidney disease (CKD) is ( ‫المزمن‬ ‫الكلى‬ ‫لمرض‬ ‫شائعة‬ ‫عالمة‬ CKD ‫هي‬ ) A) rash. B) hematuria. C) proteinuria. ‫بروتينية‬ D) bacteremia. --------------------- 15.The nurse determines that a patient with acute renal failure is in the recovery phase when the patient experiences ‫المريض‬ ‫يعاني‬ ‫عندما‬ ‫الشفاء‬ ‫مرحلة‬ ‫في‬ ‫حاد‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫أن‬ ‫الممرضة‬ ‫تحدد‬ a. A return to normal weight b. A urine output of 3700 mL/day c. Decreasing BUN and creatinine levels ‫مستويات‬ ‫خفض‬ BUN ‫والكرياتينين‬ d. Decreasing sodium and potassium levels --------------------- 16- In replying to a patient’s questions about the seriousness of her chronic kidney disease, the nurse knows that the stage of chronic kidney disease is based on ‫مرض‬ ‫مرحلة‬ ‫أن‬ ‫الممرضة‬ ‫تعلم‬ ، ‫لديها‬ ‫المزمن‬ ‫الكلى‬ ‫مرض‬ ‫خطورة‬ ‫حول‬ ‫مريضة‬ ‫أسئلة‬ ‫على‬ ‫الرد‬ ‫في‬ ‫ا‬ ‫الكلى‬ ‫على‬ ‫تعتمد‬ ‫لمزمن‬ a. The total daily urine output b. The GFR ‫الكبيبي‬ ‫الترشيح‬ ‫معدل‬ c. Serum creatinine and urea levels d. The degree of altered mental status
  • 5. 5 MCQ______UTI 1- Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis? ‫الحاد؟‬ ‫والكلية‬ ‫الحويضة‬ ‫بالتهاب‬ ‫مصاب‬ ‫مريض‬ ‫في‬ ‫تراها‬ ‫أن‬ ‫تتوقع‬ ‫التالية‬ ‫األعراض‬ ‫من‬ ‫أي‬ A. Jaundice and flank pain B. Costovertebral angle tenderness and chills ‫وقشعريرة‬ ‫الفقري‬ ‫العمود‬ ‫زاوية‬ ‫حنان‬ C. Burning sensation on urination D. Polyuria and nocturia --------------------- 2-Which patient is at greatest risk for developing a urinary tract infection (UTI)? ( ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫لإلصابة‬ ‫عرضة‬ ‫األكثر‬ ‫المريض‬ ‫هو‬ ‫من‬ UTI ‫)؟‬ A. A 35 y.o. woman with a fractured wrist B. A 20 y.o. woman with asthma C. A 50 y.o. postmenopausal woman ‫اليأس‬ ‫سن‬ ‫بعد‬ ‫امرأة‬ ‫سنة‬ ‫خمسين‬ D. A 28 y.o. with angina --------------------- 3-The most common early sign of kidney disease is: ‫لمرض‬ ‫ًا‬‫ع‬‫شيو‬ ‫األكثر‬ ‫المبكرة‬ ‫العالمة‬ :‫هي‬ ‫الكلى‬ A. Sodium retention B. Elevated BUN level ‫مرتفع‬ BUN ‫مستوى‬ C. Development of metabolic acidosis D. Inability to dilute or concentrate urine --------------------- 4-What is the priority nursing diagnosis with your patient diagnosed with end-stage renal disease? ‫مراحله‬ ‫في‬ ‫كلوي‬ ‫بمرض‬ ‫تشخيصه‬ ‫تم‬ ‫الذي‬ ‫مريضك‬ ‫مع‬ ‫األولوية‬ ‫ذو‬ ‫التمريضي‬ ‫التشخيص‬ ‫هو‬ ‫ما‬ ‫األخيرة؟‬ A. Activity intolerance B. Fluid volume excess ‫السوائل‬ ‫حجم‬ ‫زيادة‬ C. Knowledge deficit D. Pain --------------------- 5-Immunosuppression following kidney transplantation is continued: :‫الكلى‬ ‫زراعة‬ ‫بعد‬ ‫المناعة‬ ‫كبت‬ ‫استمرار‬ A. For life ‫الحياة‬ ‫ألجل‬
  • 6. 6 B. 24 hours after transplantation C. A week after transplantation D. Until the kidney is not anymore rejected --------------------- 6-The nurse teaches the female patient who has frequent urinary tract infections that she should: :‫عليها‬ ‫أن‬ ‫البولية‬ ‫المسالك‬ ‫في‬ ‫متكررة‬ ‫بعدوى‬ ‫المصابة‬ ‫المريضة‬ ‫بتعليم‬ ‫الممرضة‬ ‫تقوم‬ A. Urinate after sexual intercourse. ‫الجماع‬ ‫بعد‬ ‫التبول‬ B. Take tub baths with bubble bath. C. Take prophylactic sulfonamides for the rest of her life. D. Restrict fluid intake to prevent the need for frequent voiding. --------------------- 7- Patient with renal failure is admitted to the hospital with pneumonia. He's being treated with gentamicin (Garamycin), which can be nephrotoxic. Which laboratory value should be closely monitored? ‫بالجنتاميسي‬ ‫عالجه‬ ‫يتم‬ .‫رئوي‬ ‫بالتهاب‬ ‫ا‬ً‫ب‬‫مصا‬ ‫المستشفى‬ ‫إلى‬ ‫كلوي‬ ‫بفشل‬ ‫المصاب‬ ‫المريض‬ ‫إدخال‬ ‫يتم‬ ‫ن‬ ‫كثب؟‬ ‫عن‬ ‫مراقبتها‬ ‫يجب‬ ‫التي‬ ‫المختبر‬ ‫قيمة‬ ‫ما‬ .‫للكلية‬ ‫ا‬ً‫م‬‫سا‬ ‫يكون‬ ‫أن‬ ‫يمكن‬ ‫والذي‬ ، )‫(جاراميسين‬ A. Sodium level. B. Alkaline phosphatase. C. White blood cell (WBC) count. D. Blood urea nitrogen ‫الدم‬ ‫في‬ ‫اليوريا‬ ‫نيتروجين‬ --------------------- 8- Onefactorthat contributes toanincreased incidenceofurinary tract infectionin womenis: :‫هو‬ ‫النساء‬ ‫عند‬ ‫البولية‬ ‫المسالك‬ ‫بعدوى‬ ‫اإلصابة‬ ‫زيادة‬ ‫في‬ ‫تساهم‬ ‫التي‬ ‫العوامل‬ ‫أحد‬ A. Small bladder. B. Relaxation of pelvicfloor muscles. C. Tightmuscular support atthebladder sphincter. D. Shorting ofurethra. ‫البول‬‫مجرى‬‫قصر‬ --------------------- 9. A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6 ° F (38.1 ° C). Which of the following would be a priority outcome for this client? ‫في‬ ‫شديدة‬ ‫آالم‬ ‫من‬ ‫العميل‬ ‫يعاني‬ .‫الكلى‬ ‫بحصوات‬ ‫اإلصابة‬ ‫بتشخيص‬ ‫المستشفى‬ ‫إلى‬ ‫العميل‬ ‫إدخال‬ ‫يتم‬ ‫الحرارة‬ ‫درجة‬ ‫كانت‬ .‫وغثيان‬ ‫الخاصرة‬ 100.6 ‫درجة‬ ( ‫فهرنهايت‬ 38.1 ‫يلي‬ ‫مما‬ ‫أي‬ .)‫مئوية‬ ‫درجة‬ ‫العميل؟‬ ‫لهذا‬ ‫أولوية‬ ‫ذات‬ ‫نتيجة‬ ‫سيكون‬
  • 7. 7 a. Prevention of urinary tract complications. b. Alleviation of nausea. c. Alleviation of pain. ‫اآلالم‬ ‫تسكين‬ d. Maintenance of fluid and electrolyte balance. MCQ_______UTI A 65 year old male patient has a glomerular filtration rate of 55 mL/min. The patient has a history of uncontrolled hypertension and coronary artery disease. You're assessing the new medication orders received for this patient. Which medication ordered by the physician will help treat the patient's hypertension along with providing a protective mechanism to the kidneys *? ‫العمر‬ ‫من‬ ‫يبلغ‬ ‫مريض‬ 65 ‫يبلغ‬ ‫كبيبي‬ ‫ترشيح‬ ‫معدل‬ ‫لديه‬ ‫ا‬ً‫م‬‫عا‬ 55 ‫من‬ ‫تاريخ‬ ‫لديه‬ ‫المريض‬ .‫دقيقة‬ / ‫مل‬ ‫المن‬ ‫غير‬ ‫الدم‬ ‫ضغط‬ ‫ارتفاع‬ ‫تلقيتها‬ ‫التي‬ ‫الجديدة‬ ‫األدوية‬ ‫طلبات‬ ‫تقيم‬ ‫أنت‬ .‫التاجي‬ ‫الشريان‬ ‫ومرض‬ ‫ضبط‬ ‫لدى‬ ‫الدم‬ ‫ضغط‬ ‫ارتفاع‬ ‫عالج‬ ‫في‬ ‫ستساعد‬ ‫والتي‬ ‫الطبيب‬ ‫يطلبها‬ ‫التي‬ ‫األدوية‬ ‫هي‬ ‫ما‬ .‫المريض‬ ‫لهذا‬ * ‫للكلى؟‬ ‫وقائية‬ ‫آلية‬ ‫توفير‬ ‫مع‬ ‫المريض‬ A. Lisinopril ‫يسينوبريل‬ B. Metoprolol C. Amlodipine D. Verapamil --------------------- Your patient with chronic kidney disease is scheduled for dialysis in the morning. While examining the patient's telemetry strip, you note tall peaked T-waves. You notify the physician who orders a STAT basic metabolic panel (BMP). What result from the BMP confirms the EKG abnormality *? ‫شريط‬ ‫فحص‬ ‫أثناء‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫لمريضك‬ ‫الصباح‬ ‫في‬ ‫الكلى‬ ‫غسيل‬ ‫إجراء‬ ‫المقرر‬ ‫من‬ ‫موجات‬ ‫وجود‬ ‫تالحظ‬ ، ‫بالمريض‬ ‫الخاص‬ ‫بعد‬ ‫عن‬ ‫القياس‬ T ‫الطبيب‬ ‫إخطار‬ ‫عليك‬ ‫يجب‬ .‫الذروة‬ ‫عالية‬ ‫األساسية‬ ‫الغذائي‬ ‫التمثيل‬ ‫لوحة‬ ‫يطلب‬ ‫الذي‬ STAT (BMP) ‫نتيجة‬ ‫هي‬ ‫ما‬ . BMP ‫وجود‬ ‫تؤكد‬ ‫التي‬ * ‫القلب؟‬ ‫كهربية‬ ‫مخطط‬ ‫في‬ ‫خلل‬ A. Phosphate 3.2 mg/dL B. Calcium 9.3 mg/dL C. Magnesium 2.2 mg/dL D. Potassium 7.1 mEq/L‫البوتاسيوم‬ --------------------- You are providing education to a patient with CKD about calcium acetate. Which statement by the patient demonstrates they understood your teaching about this medication? Select-all-that-apply *:
  • 8. 8 ‫أدلى‬ ‫التي‬ ‫العبارة‬ ‫هي‬ ‫ما‬ .‫الكالسيوم‬ ‫أسيتات‬ ‫حول‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫مصاب‬ ‫لمريض‬ ً‫ا‬‫تعليم‬ ‫تقدم‬ ‫أنت‬ *:‫ينطبق‬ ‫ما‬ ‫كل‬ ‫اختر‬ ‫الدواء؟‬ ‫هذا‬ ‫حول‬ ‫لتعاليمك‬ ‫فهمهم‬ ‫توضح‬ ‫والتي‬ ‫المريض‬ ‫بها‬ A .This medicatio will help keep my calcium level normal. B. "I will take this medication with meals or immediately after. .‫مباشرة‬ ‫بعدها‬ ‫أو‬ ‫الطعام‬ ‫وجبات‬ ‫مع‬ ‫الدواء‬ ‫هذا‬ ‫أتناول‬ ‫سوف‬ C. "It is important I consume high amounts of oatmeal, poultry, fish, and dairy products while taking this medication. D. "This medication will help prevent my phosphate level from increasing. .‫لدي‬ ‫الفوسفات‬ ‫مستوى‬ ‫زيادة‬ ‫منع‬ ‫في‬ ‫الدواء‬ ‫هذا‬ ‫سيساعد‬ --------------------- While assessing morning labs on your patient with CKD. You note the patient's phosphate level is 6.2 mg/dL. As the nurse, you expect to find the calcium level to be *? ‫لدى‬ ‫الفوسفات‬ ‫مستوى‬ ‫أن‬ ‫تالحظ‬ .‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫لمريضك‬ ‫الصباحية‬ ‫المعامل‬ ‫تقييم‬ ‫أثناء‬ ‫هو‬ ‫المريض‬ 6.2 * ‫الكالسيوم؟‬ ‫مستوى‬ ‫يكون‬ ‫أن‬ ‫تتوقع‬ ‫هل‬ ، ‫ممرضة‬ ‫بصفتك‬ .‫ديسيلتر‬ / ‫مجم‬ A. Elevated B. Low ‫قليل‬ C. Normal D. Same as the phosphate level --------------------- A patient with stage 4 chronic kidney disease asks what type of diet they should follow. You explain the patient should follow a *: ‫المرحلة‬ ‫في‬ ‫المزمن‬ ‫الكلى‬ ‫بمرض‬ ‫المصاب‬ ‫المريض‬ ‫يسأل‬ 4 ‫الذي‬ ‫الغذائي‬ ‫النظام‬ ‫نوع‬ ‫عن‬ ‫ع‬ ‫يجب‬ * :‫يتبع‬ ‫أن‬ ‫المريض‬ ‫على‬ ‫تشرح‬ ‫أنت‬ .‫اتباعه‬ ‫ليه‬ A. Low protein, low sodium, low potassium, low phosphate diet ‫الفوسفات‬ ‫منخفض‬ ‫غذائي‬ ‫نظام‬ ، ‫البوتاسيوم‬ ‫منخفض‬ ، ‫الصوديوم‬ ‫منخفض‬ ، ‫البروتين‬ ‫قليل‬ B. High protein, low sodium, low potassium, high phosphate diet C. Low protein, high sodium, high potassium, high phosphate diet D. Low protein, low sodium, low potassium, high phosphate diet --------------------- The kidneys are responsible for performing all the following functions EXCEPT *? ‫عن‬ ‫مسؤولة‬ ‫الكلى‬ * ‫باستثناء؟‬ ‫التالية‬ ‫الوظائف‬ ‫جميع‬ ‫أداء‬ A. Activating Vitamin D B. Secreting Renin C. Secreting Erythropoietin D. Maintaining cortisol production ‫الكورتيزول‬ ‫انتاج‬ ‫على‬ ‫الحفاض‬