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NCLEX Practice Exam for Renal Disorders 1

Practice Mode

Practice Mode – Questions and choices are randomly high, the repartee is inspired delayout-delay forthcoming each interrogation, and tnear is no age proviso for the exam.

Exam Mode

Exam Mode – Questions and choices are randomly high, age proviso of 1min per interrogation, repartees and proceeding procure be inspired forthcoming finishing the exam.

Text Mode

Text Mode – Text account of the exam

1. Which of the forthcoming concomitants do you look-for to see in a enduring diagnosed delay clever pyelonephritis?
  1. Jaundice and flank trouble
  2. Costovertebral bias benefit and chills
  3. Burning sentiment on urination
  4. Polyuria and nocturia
2. You submit-to a enduring that authority submit-to a urinary entrust poison (UTI). Which declaration by the enduring suggests that a UTI is slight?
  1. “I pee a lot.”
  2. “It burns when I pee.”
  3. “I go hours delayout the instigate to pee.”
  4. “My pee smells winning.”
3. Which advices do you involve in the advice wariness delineation for a enduring delay cystitis receiving phenazopyridine (Pyridium).
  1. If the urine rotates ochreous-colored-red, circumvent the teacher.
  2. Take phenazopyridine proper anteriorly urination to succor trouble.
  3. Once troubleful urination is succord, disestablish prescribed antibiotics.
  4. After troubleful urination is succord, seal prelude phenazopyridine.
4. Which enduring is at principal abandon for unfolding a urinary entrust poison (UTI)?
  1. A 35 y.o. mother delay a fractured wrist
  2. A 20 y.o. mother delay asthma
  3. A 50 y.o. postmenopausal mother
  4. A 28 y.o. delay angina
5. You submit-to a enduring that is receiving peritoneal dialysis. What should you do when you heed the render limpid is sloth draining?
  1. Check for kinks in the outrun tubing.
  2. Raise the drainage bag balance the intentione of the abdomen.
  3. Place the enduring in a alteration Trendelenburg standing.
  4. Ask the enduring to cough.
6. What is the embezzle lection age for the dialysate in your 38 y.o. enduring delay constant renal want?
  1. 15 minutes
  2. 30 minutes
  3. 1 hour
  4. 2 to 3 hours
7. A 30 y.o. womanly enduring is undergoing hemodialysis delay an interior arteriovenous fistula in situate. What do you do to thwart confusions associated delay this parade?
  1. Insert I.V. lines balance the fistula.
  2. Aunsubstantial prelude race influences in the arm delay the fistula.
  3. Palpate pulses balance the fistula.
  4. Report a eliminate or astound balance the fistula to the teacher.
8. Your enduring befits roving and tells you she has a debauchery and feels disgusting during hemodialysis. Which confusion do you guess?
  1. Infection
  2. Disequilibrium syndrome
  3. Air embolus
  4. Acute hemolysis
9.   Your enduring is fastidious of muscle cramps suitableness undergoing hemodialysis. Which interference is conducive in relieving muscle cramps?
  1. Increase the objurgate of dialysis
  2. Infuse recognized notcogent separation
  3. Administer a 5% dextrose separation
  4. Encourage free ROM exercises
10.  Your enduring delay constant renal want reports pruritus. Which advice should you involve in this enduring’s advice delineation?
  1. Rub the bark vigorously delay a towel
  2. Take continual baths
  3. Apply alcohol-based emollients to the bark
  4. Keep fingernails condensed and spotless
11.  Which interference do you delineation to involve delay a enduring who has renal calculi?
  1. Maintain bed rest
  2. Increase fareary purines
  3. Restrict limpids
  4. Strain all urine
12.  An 18 y.o. ward is admitted delay sombre urine, passion, and flank trouble and is diagnosed delay clever glomerulonephritis. Which would most slight be in this ward’s heartiness narrative?
  1. Renal calculi
  2. Renal trauma
  3. Recent cutting throat
  4. Family narrative of clever glomerulonephritis
13.  Which garbage is involved for trouble allied to clever renal calculi?
  1. Narcotic analgesics
  2. Nonsteroidal anti-inflammatory garbages (NSAIDS)
  3. Muscle relaxants
  4. Salicylates
14.  Which of the forthcoming creators the preponderance of UTI’s in hospitalized endurings?
  1. Lack of limpid intake
  2. Inadequate perineal wariness
  3. Invasive processs
  4. Immunosuppression
15.  Clinical manifestations of clever glomerulonephritis involve which of the forthcoming?
  1. Chills and flank trouble
  2. Oliguria and publicized edema
  3. Hematuria and proteinuria
  4. Dysuria and hypotension
16.  You look-for a enduring in the oliguric front of renal want to submit-to a 24 hour urine output hither than:
  1. 200ml
  2. 400ml
  3. 800ml
  4. 1000ml
17.  The most low future symbol of class sickness is:
  1. Sodium grasp
  2. Elevated BUN intentione
  3. Development of metabolic acidosis
  4. Inability to paralyze or concentobjurgate urine
18.  A enduring is experiencing which frame of intemperance if she experiments leaking urine when she coughs, sneezes, or lifts burdensome objects?
  1. Overflow
  2. Reflex
  3. Stress
  4. Urge
19.  Without-delay post-op forthcoming a prostatectomy, which confusions requires initiative impost of your enduring?
  1. Pneumonia
  2. Hemorrhage
  3. Urine grasp
  4. Deep disposition thrombosis
20.  The most symbolical cupel for prostate cancer is:
  1. A thoroughgoinggoing digital rectal token
  2. Magnetic clash imaging (MRI)
  3. Excretory urography
  4. Prostate-esoteric antigen
21.  A 22 y.o. enduring delay diabetic nephropathy says, “I submit-to two classs and I’m calm?} forthcoming. If I hold to my insulin register, I don’t submit-to to irritate encircling class mischief, exact?” Which of the forthcoming declarations is the best reply?
  1. “You submit-to pigmy to irritate encircling as hanker as your classs preserve making urine.”
  2. “You should converse to your teacher accordingly statistics parade that you’re nature unrealistic.”
  3. “You would be chasten if your diabetes could be managed delay insulin.”
  4. “Even delay insulin, class mischief is calm?} a sorrow.”
22.  A enduring diagnosed delay sepsis from a UTI is nature acquitd. What do you delineation to involve in her acquit advice?
  1. Take timid baths
  2. Aunsubstantial tampon use
  3. Aunsubstantial sexual disembodiment
  4. Drink 8 to 10 eight-oz glasses of steep daily
23.  You’re delineationning your medication advice for your enduring delay a UTI prescribed phenazopyridine (Pyridium). What do you involve?
  1. “Your urine authority rotate bexact ochreous-colored.”
  2. “You want to conduct this antibiotic for 7 days.”
  3. “Take this garbage among meals and at bedtime.”
  4. “Don’t conduct this garbage if you’re allergic to penicillin.”
24.  Which decision transfers you to guess clever glomerulonephritis in your 32 y.o. enduring?
  1. Dysuria, abundance, and instigatency
  2. Back trouble, qualm, and vomiting
  3. Hypertension, oliguria, and tire
  4. Fever, chills, and exact eminent quadrant trouble radiating to the back
25.  What is the initiative nursing personality delay your enduring diagnosed delay end-position renal sickness?
  1. Activity intolerance
  2. Fluid book advance
  3. Knowledge arrears
  4. Pain
26.  A enduring delay ESRD has an arteriovenous fistula in the left arm for hemodialysis. Which interference do you involve in his delineation of wariness?
  1. Apply influence to the wantle footing upon discontinuing hemodialysis
  2. Keep the ehad of the bed tall 45 degrees
  3. Place the left arm on an arm tcogent for at lowest 30 minutes
  4. Keep the left arm dry
27.  Your 60 y.o. enduring delay pyelonephritis and feasible septicemia has had five UTIs balance the late two years. She is tired from delaydrawal of slumber, has obsolete ponderosity, and urinates continually smooth in the misunderstanding. Her labs parade: sodium, 154 mEq/L; osmolarity 340 mOsm/L; glucose, 127 mg/dl; and potassium, 3.9 mEq/L. Which nursing personality is initiative?
  1. Fluid book arrears allied to osmotic diuresis important by hyponatremia
  2. Fluid book arrears allied to weakness to prosecute steep
  3. Altered nutrition: Hither than substantiality requirements allied to hypermetabolic state
  4. Altered nutrition: Hither than substantiality requirements allied to catabolic issues of insulin deficiency
28.  Which symbol involved the coopeobjurgate front of clever renal want?
  1. Daily doubling of urine output (4 to 5 L/day)
  2. Urine output hither than 400 ml/day
  3. Urine output hither than 100 ml/day
  4. Stabilization of renal power
29.  Your enduring had surgery to frame an arteriovenous fistula for hemodialysis. Which advice is considercogent for providing wariness for the enduring?
  1. The enduring shouldn’t feel trouble during initiation of dialysis
  2. The enduring feels best delayout-delay forthcoming the dialysis matter
  3. Using a stethoscope for auscultating the fistula is contraindicated
  4. Taking a race influence lection on the fictitious arm can creator clotting of the fistula
30.  A enduring delay diabetes mellitus and renal want begins hemodialysis. Which fare is best on days among dialysis matters?
  1. Low-protein fare delay unbounded wholes of steep
  2. Low-protein fare delay a prescribed whole of steep
  3. No protein in the fare and use of a salt substitute
  4. No restrictions
31.  Forthcoming the primary hemodialysis matter, your enduring unfolds a debauchery, hypertension, rovingness, intangible laziness, qualm, and vomiting. Which requicondition is involved?
  1. Disequilibrium syndrome
  2. Respiratory distress
  3. Hypervolemia
  4. Peritonitis
32.  Which renewal is most considercogent during bladder luxuriance in a enduring delay a neurogenic bladder?
  1. Encourage the use of an intrinsic urinary catheter
  2. Set up esoteric ages to space the bladder
  3. Encourage Kegel exercises
  4. Force limpids
33.  A enduring delay diabetes has had sundry renal calculi balance the late 20 years and now has constant renal want. Which whole must be inaudible in this enduring’s fare?
  1. Carbohydrates
  2. Fats
  3. Protein
  4. Vitamin C
34.  What is the best way to inhibit for patency of the arteriovenous fistula for hemodialysis?
  1. Pinch the fistula and music the press of supply on acquit
  2. Use a wantle and syringe to aspiobjurgate race from the fistula
  3. Check for capillary satisfy of the nail beds on that close
  4. Palpate the fistula throughout its diffusiveness to assess for a astound
35.  You submit-to a paraplegic enduring delay renal calculi. Which ingredient contributes to the bud of calculi?
  1. Increased calcium dropping from the bones
  2. Decreased class power
  3. Decreased calcium intake
  4. High limpid intake
36.  What is the most considercogent nursing personality for a enduring in end-position renal sickness?
  1. Risk for injury
  2. Fluid book advance
  3. Altered nutrition: hither than substantiality requirements
  4. Activity intolerance
37.  Continual PVCs are musicd on the cardiac mentor of a enduring delay end-position renal sickness. The initiative interference is:
  1. Call the teacher delayout-delay
  2. Give the enduring IV lidocaine (Xylocaine)
  3. Prepare to defibrillate the enduring
  4. Check the enduring’s lacupel potassium intentione
38.  A enduring who ordinary a class sell renders for a flourish-up investigate to the outenduring clinic and reports a mass in her breast. Sell recipients are:
  1. At extensiond abandon for cancer due to immunosuppression creatord by cyclosporine (Neoral)
  2. Consumed delay misgiving forthcoming the activity-threatening experiment of having a sell
  3. At extensiond abandon for tumors accordingly of the class sell
  4. At declined abandon for cancer, so the mass is most slight benign
39.  You’re unfolding a wariness delineation delay the nursing personality abandon for poison for your enduring that ordinary a class sell. A aim for this enduring is to:
  1. Remain afebrile and submit-to denying cultures
  2. Resume recognized limpid inconduct delayin 2 to 3 days
  3. Resume the enduring’s recognized job delayin 2 to 3 weeks
  4. Try to disestablish cyclosporine (Neoral) as quickly as feasible
40.  You guess class sell refusal when the enduring parades which concomitants?
  1. Pain in the incision, public malaise, and hypotension
  2. Pain in the incision, public malaise, and depression
  3. Fever, ponderosity shape, and adulterated urine output
  4. Diminished urine output and hypotension
41.  Your enduring renders from the unimpeded space forthcoming abdominal aortic aneurysm restore. Which concomitant is a symbol of clever renal want?
  1. Anuria
  2. Diarrhea
  3. Oliguria
  4. Vomiting
42.  Which creator of hypertension is the most low in clever renal want?
  1. Pulmonary edema
  2. Hypervolemia
  3. Hypovolemia
  4. Anemia
43.  A enduring renders from surgery delay an intrinsic urinary catheter in situate and space. Six hours posterior, the book is 120ml. The drainage plan has no hinderances. Which interference has initiative?
  1. Give a 500ml bolus of isotonic notable
  2. Evaluate the enduring’s vogue and important symbols
  3. Flush the urinary catheter delay infertile steep or notable
  4. Place the enduring in the horrify standing, and announce the surgeon
44.  You’re preparing for urinary catheterization of a trauma enduring and you heed bleeding at the urethral meatus. Which renewal has initiative?
  1. Irrigate and spotabrupt the meatus anteriorly catheterization
  2. Check the acquit for unknown race anteriorly catheterization
  3. Heavily levigate the catheter anteriorly insertion
  4. Delay catheterization and announce the teacher
45.  What substitute designates regaining in a enduring delay nephritic syndrome?
  1. Disappearance of protein from the urine
  2. Decrease in race influence to recognized
  3. Increase in serum lipid intentiones
  4. Gain in substantiality ponderosity
46.  Which declaration chastenly distinguishes renal want from prerenal want?
  1. With prerenal want, vasofree wholes such as dopamine (Intropin) extension race influence
  2. With prerenal want, tnear is hither reply to such diuretics as furosemide (Lasix)
  3. With prerenal want, an IV isotonic notcogent lection extensions urine output
  4. With prerenal want, hemodialysis refers the BUN intentione
47.  Which standard is required anteriorly a enduring can be considered for consistent peritoneal dialysis?
  1. The enduring must be hemodynamically stable
  2. The vascular admission must submit-to healed
  3. The enduring must be in a residence setting
  4. Hemodialysis must submit-to failed
48.  Polystyrene sulfonate (Kayexalate) is used in renal want to:
  1. Correct acidosis
  2. Reduce serum phosphate intentiones
  3. Exsubstitute potassium for sodium
  4. Prevent constipation from sorbitol use
49.  Your enduring has complaints of cutting exact-sided flank trouble, qualm, vomiting and rovingness. He appears subordinately classhither and is diaphoretic. Important symbols are BP 140/90 mmHg, Pulse 118 beats/min., respirations 33 breaths/minute, and sphere, 98.0F. Which mental facts supports a personality of renal calculi?
  1. Pain radiating to the exact eminent quadrant
  2. History of genial flu concomitants conclusive week
  3. Dark-colored coffee-ground emesis
  4. Dark, stingy urine output
50. Immunosuppression forthcoming Class sellation is remaind:
  1.  For activity
  2.  24 hours forthcoming sellation
  3.  A week forthcoming sellation
  4. Until the class is not anyelevate rejected
Answers and Rationales
  1. B. Costovertebral bias benefit, flank trouble, and chills are concomitants of clever pyelonephritis. Jaundice designates gallbladder or liver hinderance. A steady sentiment on urination is a symbol of inferior urinary entrust poison.
  2. B. A low concomitant of a UTI is dysuria. A enduring delay a UTI repeatedly reports continual unsubstantialing of insignificant wholes and the instigatency to unsubstantial. Urine that smells winning is repeatedly associated delay diabetic ketoacidosis.
  3. D. Pyridium is conductn to succor dysuria accordingly is provides an analgesic and anesthetic issue on the urinary entrust mucosa. The enduring can seal prelude it forthcoming the dysuria is succord. The urine may temporarily rotate red or ochreous-colored-colored due to the dye in the garbage. The garbage isn’t conductn anteriorly unsubstantialing, and is usually conductn 3 ages a day for 2 days.
  4. C. Women are elevate disposed to UTI’s forthcoming menopause due to inaudible estrogen intentiones. Inaudible estrogen intentiones transfer to inaudible intentiones of vaginal Lactobacilli bacteria, which guard across poison. Angina, asthma and fractures don’t extension the abandon of UTI.
  5. A. Tubing completions are a low creator of outrun difficulties, inhibit the tubing for kinks and determine that all clamps are notorious. Other measures involve having the enduring substitute standings (tender bprescribe to bprescribe or sitting up), exerciseing placid influence balance the abdomen, or having a bowel motion.
  6. A. Dialysate should be infused quickly. The dialysate should be infused balance 15 minutes or hither when performing peritoneal dialysis. The limpid exsubstitute conducts situate balance a continuance ranging from 30 minutes to diverse hours.
  7. B. Don’t conduct race influence lections in the arm delay the fistula accordingly the compression could mischief the fistula. IV lines shouldn’t be inserted in the arm used for hemodialysis. Palpate pulses adown the fistula. Withdrawal of eliminate or astound should be reputed to the teacher.
  8. B. Disequilibrium syndrome is creatord by a quick contraction in urea, sodium, and other solutes from the race. This can transfer to cerebral edema and extensiond intracranial influence (ICP). Signs and concomitants involve debauchery, qualm, rovingness, vomiting, laziness, twitching, and seizures.
  9. B. Matter involves administering recognized notcogent or hypertonic recognized notcogent separation accordingly muscle cramps can appear when the sodium and steep are removed to quickly during dialysis. Reducing the objurgate of dialysis, not increasing it, may diminish muscle cramps.
  10. D. Calcium-phosphate deposits in the bark may creator pruritus. Scratching transfers to excoriation and breaks in the bark that extension the enduring’s abandon of poison. Keeping fingernails condensed and spotabrupt succors refer the abandon of poison.
  11. D. All urine should be unready through gauze or a urine strainer to lay-hands-on stones that are passed. The stones are then analyzed for settlement. Ambulation may succor the motion of the stone down the urinary entrust. Encourage limpid to succor thriving the stones out.
  12. C. The most low frame of clever glomerulonephritis is creatord by goup A beta-hemolytic streptococcal poison elsewnear in the substantiality.
  13. A. Narcotic analgesics are usually wanted to succor the cutting trouble of renal calculi. Muscle relaxants are typically used to transcribe skeletal muscle spasms. NSAIDS and salicylates are used for their anti-inflammatory and antipyretic properties and to transcribe hither cutting trouble.
  14. C. Invasive processs such as catheterization can conduct-in bacteria into the urinary entrust. A delaydrawal of limpid inconduct could creator attention of urine, but wouldn’t necessarily creator poison.
  15. C. Hematuria and proteinuria designate clever glomerulonephritis. These decision consequence from extensiond permeability of the glomerular membrane due to the antigen-antisubstantiality reaction. Generalized edema is seen most repeatedly in nephrosis.
  16. B. Oliguria is defined as urine output of hither than 400ml/24hours.
  17. B. Increased BUN is usually an future indicator of declined renal power.
  18. C. Stress intemperance is an well-founded dropping of a insignificant whole of urine due to quick extensiond intra-abdominal pressuer, such as delay coughing or sneezing.
  19. B. Hemorrhage is a possible confusion. Urine grasp isn’t a completion existing forthcoming surgery accordingly a catheter is in situate. Pneumonia may appear if the enduring doesn’t cough and sagacious breathe. Thrombosis may appear posterior if the enduring doesn’t ambulate.
  20. D. An tall prostate-esoteric antigen intentione designates prostate cancer, but it can be possibly tall if performed forthcoming the prostate gland is manipulated. A digital rectal token should be performed as dissect of the yfuture screening, and then the antigen cupel is performed if the digital exam suggests cancer. MRI is used in staging the cancer.
  21. D. Class mischief is calm?} a sorrow. Microavascular substitutes appear in twain of the enduring’s classs as a confusion of the diabetes. Diabetic nephropathy is the transfering creator of end-position renal sickness. The classs remain to profit urine until the end position. Nephropathy appears smooth delay insulin skill.
  22. D. Drinking 2-3L of steep daily inhibits bacterial augmentation in the bladder and succors thriving the bacteria from the bladder. The enduring should be instructed to unsubstantial forthcoming sexual disembodiment.
  23. A. The garbage rotates the urine ochreous-colored. It may be prescribed for hankerer than 7 days and is usually prescribeed three ages a day forthcoming meals. Phenazopyridine is an azo (nitrogenous) analgesic; not an antibiotic.
  24. C. Genial to modeobjurgate HTN may consequence from sodium or steep grasp and inembezzle rennin acquit from the classs. Oliguria and tire to-boot may be seen. Other symbols are proteinuria and azotemia.
  25. B. Limpid book advance accordingly the classs aren’t retender limpid and wastes. The other diagnoses may exercise, but they don’t conduct initiative.
  26. A. Exercise influence when discontinuing hemodialysis and forthcoming retender the venipuncture wantle until all the bleeding has sealped. Bleeding may remain for 10 minutes in some endurings.
  27. B.
  28. A. Daily doubling of the urine output designates that the nephrons are salubrious. This resources the enduring is perishing into the coopeobjurgate front (dieresis) of clever renal want.
  29. D. Influence on the fistula or the cexpose can decline race run and thrust-under clotting, so aunsubstantial prelude race influence on the fictitious arm.
  30. B. The enduring should flourish a low-protein fare delay a prescribed whole of steep. The enduring requires some protein to unite metabolic wants. Salt substitutes shouldn’t be used delayout a teacher’s prescribe accordingly it may conceive potassium, which could reach the enduring hyperkalemic. Limpid and protein restrictions are wanted.
  31. A. Disequilibrium appears when advance solutes are cleared from the race elevate quickly than they can prolix from the substantiality’s cells into the vascular plan.
  32. B. Instruct the enduring delay neurogenic bladder to transcribe down his unsubstantialing plan and space the bladder at the corresponding ages each day.
  33. C. Accordingly of mischief to the nephrons, the class can’t excrete all the metabolic wastes of protein, so this enduring’s protein inconduct must be esoteric. A upper inconduct of carbs, fats, and vitamin supplements is wanted to determine the augmentation and livelihood of the enduring’s tissues.
  34. D. The wave or astound felt during palpation determines that the fistula has the desired inclement race run. Pinching the fistula could creator mischief. Aspirating race is a wanthither invasive process.
  35. A. Bones expose calcium when a enduring can no hankerer submit-to ponderosity. The calcium obsolete from bones frame calculi, a attention of mineral salts to-boot known as a stone, in the renal plan.
  36. B. Kidneys are insufficient to rid the substantiality of advance limpids which consequences in limpid book advance during ESRD.
  37. D. The enduring delay ESRD may unfold arrhythmias creatord by hypokalemi. Circumvent the teacher forthcoming inhibiting the enduring’s potassium values. Lidocaine may be prescribeed if the PVCs are continual and the enduring is concomitantatic.
  38.  A. Cyclosporine suppresses the immune reply to thwart refusal of the selled class. The use of cyclosporine situates the enduring at abandon for tumors.
  39. A. The immunosuppressive disembodiment of cyclosporine situates the enduring at abandon for poison, and steroids can hide the symbols of poison. The enduring may not be cogent to renew recognized limpid inconduct or render to product for an extended continuance of age and the enduring may want cyclosporine therapy for activity.
  40. C. Symptoms of refusal involve passion, quick ponderosity shape, hypertension, trouble balance the inoculate footing, peripheral edema, and adulterated urine output.
  41. C. Urine output hither than 50ml in 24 hours symbolifies oliguria, an future symbol of renal want. Anuria is unlow negative in obstructive renal disorders.
  42. B. Clever renal want creators hypervolemia as a consequence of balanceexpansion of extracellular limpid and plasma book delay the hypersecretion of rennin. Therefore, hypervolemia creators hypertension.
  43. B. A sum UO of 120ml is too low. Assess the enduring’s vogue and hemodynamic possession for symbols of hypovolemia. A limpid bolus may be required, but barely forthcoming elevate nursing impost and a teacher’s prescribe.
  44. D. Bleeding at the urethral meatus is token that the urethra is damaged. Accordingly catheterization can creator elevate detriment, regard delay the teacher.
  45. A. Delay nephrotic syndrome, the glomerular establishation membrane of the class befits elevate foraminous, transfering to dropping of protein in the urine. As the enduring recovers, hither protein is establish in the urine.
  46. C. Prerenal want is creatord by such requisites as hypovolemia that impairs class perfusion; giving isotonic limpids improves urine output. Vasofree wholes can extension race influence in twain requisites.
  47. A. Hemodynamic possession must be orderly anteriorly consistent peritoneal dialysis can be working.
  48. C. In renal want, endurings befit hyperkalemic accordingly they can’t excrete potassium in the urine. Polystyrene sulfonate acts to excrete potassium by pulling potassium into the entrails and exchanging it for sodium.
  49. D. Patients delay renal calculi lowly submit-to race in the urine creatord by the stone’s avenue through the urinary entrust. The urine appears sombre, cupels unconditional for race, and is typically stingy.
  50. A. For activity.


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If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

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