1. CHAPTER 56
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the
... [Show More] nurse include in the teaching?
a. "You will receive contrast dye during the procedure"
b. "An enema is necessary before the procedure"
c. "You will need to lie in a prone position during the procedure"
d. "The procedure determines whether you have a kidney stone"
d. "The procedure determines whether you have a kidney stone"
2. CHAPTER 56
A nurse is monitoring a client who had a kidney biopsy for postoperative complications. Which of the following complications should the nurse identify as causing the greatest risk to the client?
a. Infection
b. Hemorrhage
c. Hematuria
d. Pain
b. Hemorrhage
3. CHAPTER 56
A nurse is caring for a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the procedure, which of the following actions should the nurse take? (Select all that apply)
a. Identify an allergy to seafood
b. Withhold metformin for 24 hr.
c. Administer an enema
d. Obtain a serum coagulation profile
e. Assess for asthma
a. Identify an allergy to seafood
b. Withhold metformin for 24 hr.
c. Administer an enema
e. Assess for asthma
4. CHAPTER 56
A nurse administered captopril to a client during a renal scan. Which of the following actions should the nurse take?
a. Assess for hypertension
b. Limit the client's fluid intake
c. Monitor for orthostatic hypotension
d. Encourage early ambulation
c. Monitor for orthostatic hypotension
5. CHAPTER 56
A nurse is reviewing the results of a client's urinalysis. The findings indicate the urine is positive for leukocyte esterase and nitrites. Which of the following actions should the nurse take?
a. Repeat the test early the next morning
b. Start 24-hr urine collection for creatinine clearance
c. Obtain a clean-catch urine specimen for C&S
d. Insert an indwelling catheter urinary catheter to collect a urine specimen
c. Obtain a clean-catch urine specimen for C&S
1. CHAPTER 57
A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which of the following information should the nurse include in the teaching?
a. Hemodialysis restores kidney function
b. Hemodialysis replaces hormonal function of the renal system
c. Hemodialysis allows an unrestricted diet
d. Hemodialysis returns a balance to serum electrolytes
d. Hemodialysis returns a balance to serum electrolytes
2. CHAPTER 57
A nurse is preparing to initiate hemodialysis for a client who has acute kidney injury. Which of the following actions should the nurse take? (Select all that apply)
a. Review the medications the client currently takes
b. Assess the AV fistula for a bruit
c. Calculate the client's hourly urine output
d. Measure the client's weight
e. Check serum electrolytes
f. Use the access site area for venipuncture
a. Review the medications the client currently takes
b. Assess the AV fistula for a bruit
d. Measure the client's weight
e. Check serum electrolytes
3. CHAPTER 57
A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
a. Check BUN and serum creatinine
b. Administer medications the nurse withheld prior to dialysis
c. Observe for signs of hypovolemia
d. Assess the access site for bleeding
e. Evaluate blood pressure on the arm with AV access
a. Check BUN and serum creatinine
b. Administer medications the nurse withheld prior to dialysis
c. Observe for signs of hypovolemia
d. Assess the access site for bleeding
4. CHAPTER 57
A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which of the following actions should the nurse take?
a. Administer an opioid medication
b. Monitor for hypertension
c. Assess level of consciousness
d. Increases the dialysis exchange rate
c. Assess level of consciousness
5. CHAPTER 57
A nurse is planning care for a client who will under peritoneal dialysis. Which of the following actions should the nurse take? (Select all that apply)
a. Monitor serum glucose levels
b. Report cloudy dialysate return
c. Warm the dialysate in a microwave oven
d. Assess for shortness of breath
e. Check the access site dressing for wetness
f. Maintain medical asepsis when accessing the catheter insertion site
a. Monitor serum glucose levels
b. Report cloudy dialysate return
d. Assess for shortness of breath
e. Check the access site dressing for wetness
1. CHAPTER 58
A nurse is assessing a client who has end-stage kidney disease. Which of the following findings should the nurse expect? (Select all that apply)
a. Anuria
b. Marked azotemia
c. Crackles in the lungs
d. Increased calcium level
e. Proteinuria
a. Anuria
b. Marked azotemia
c. Crackles in the lungs
e. Proteinuria
2. CHAPTER 58
A nurse is planning postoperative care for a client following a kidney transplant surgery. Which of the following actions should the nurse include in the plan of care? (Select all that apply)
a. Obtain daily weights
b. Assess dressings for bloody drainage
c. Replace hourly urine output with IV fluids
d. Expect oliguria in the first 4 hr.
e. Monitor serum electrolytes
a. Obtain daily weights
b. Assess dressings for bloody drainage
d. Expect oliguria in the first 4 hr.
e. Monitor serum electrolytes
3. CHAPTER 58
A nurse is teaching a client who is postoperative following a kidney transplant and is taking cyclosporine. Which of the following instructions should the nurse include?
a. "Decrease your intake of protein-rich foods"
b. "Take this medicine with grapefruit juice"
c. "Monitor for and report a sore throat to your provider"
d. "Expect your skin to turn yellow"
c. "Monitor for and report a sore throat to your provider"
4. CHAPTER 58
A client who is scheduled for kidney transplantation surgery is assessed by the nurse for risk factors of surgery. Which of the following findings increase the client's risk of surgery? (Select all that apply)
a. Age older than 70 years
b. BMI of 41
c. Administering NPH insulin each morning
d. Past history of lymphoma
e. Blood pressure averaging 120/70 mmHg
a. Age older than 70 years
b. BMI of 41
c. Administering NPH insulin each morning
d. Past history of lymphoma
5. CHAPTER 58
A nurse is preoperative teaching with a client who is scheduled for a kidney transplant about reject of a transplanted kidney. Which of the following statements should the nurse include in the teaching? (Select all that apply)
a. "Expect an immediate removal of the donor kidney for a hyperacute rejection"
b. "You may need to begin dialysis to monitor your kidney function for a hyperacute rejection"
c. "A fever is a manifestation of an acute rejection"
d. "Fluid retention is a manifestation of an acute rejection"
e. "Your provider will increase your immunosuppressive medications for a chronic rejection"
a. "Expect an immediate removal of the donor kidney for a hyperacute rejection"
c. "A fever is a manifestation of an acute rejection"
d. "Fluid retention is a manifestation of an acute rejection"
1. CHAPTER 59
A nurse is planning care for a client who has prerenal acute kidney injury (AKI) following abdominal aortic aneurysm repair. Urinary output is 60 mL in the past 2 hr, and blood pressure is 92/58 mmHg. The nurse should anticipate which of the following interventions.
a. Prepare the client for a CT scan with contrast dye
b. Plan to administer nitroprusside
c. Prepare to administer a fluid challenge
d. Plan to position the client in Trendelenburg
c. Prepare to administer a fluid challenge
2. CHAPTER 59
A nurse is planning care for a client who has postrenal AKI due to metastatic cancer. The client has a serum creatinine of 5 mg/dL. Which of the following interventions should the nurse include in the plan? (Select all that apply)
a. Provide a high-protein diet
b. Assess the urine for blood
c. Monitor for intermittent anuria
d. Weight the client once per week
e. Provide NSAIDs for pain
a. Provide a high-protein diet
b. Assess the urine for blood
c. Monitor for intermittent anuria
3. CHAPTER 59
A nurse is planning care for a client who has Stage 4 chronic kidney disease. Which of the following actions should the nurse include in the plan of care? (Select all that apply)
a. Assess for JVD
b. Provide frequent mouth rinses
c. Auscultate for a pleural friction rub
d. Provide a high-sodium diet
e. Monitor for dysrhythmias
a. Assess for JVD
b. Provide frequent mouth rinses
c. Auscultate for a pleural friction rub
e. Monitor for dysrhythmias
4. CHAPTER 59
A nurse is reviewing client laboratory data. The nurse should recognize that which of the following findings is expected for a client who has Stage 4 chronic kidney disease?
a. BUN 15 mg/dL
b. GFR 20 mL/min
c. Serum creatinine 1.1 mg/dL
d. Serum potassium 5.0 mEq/L
b. GFR 20 mL/min
5. CHAPTER 59
A nurse is assessing a client who has prerenal AKI. Which of the following findings should the nurse expect? (Select all that apply)
a. Reduced BUN
b. Elevated cardiac enzymes
c. Reduced urine output
d. Elevated serum creatinine
e. Elevated serum calcium
c. Reduced urine output
d. Elevated serum creatinine
1. CHAPTER 60
A nurse is planning care for a client who has chronic pyelonephritis. Which of the following actions should the nurse plan to take? (Select all that apply)
a. Provide a referral for nutrition counseling
b. Encourage daily fluid intake of 1 L
c. Palpate the costovertebral angle
d. Monitor urinary output
e. Administer antibiotics
a. Provide a referral for nutrition counseling
c. Palpate the costovertebral angle
d. Monitor urinary output
e. Administer antibiotics
2. CHAPTER 60
A nurse is caring for a client who has a UTI. Which of the following is the priority intervention by the nurse?
a. Offer a warm sitz bath
b. Recommend drinking cranberry juice
c. Encourage increased fluids
d. Administer an antibiotic
d. Administer an antibiotic
3. CHAPTER 60
A nurse is preparing education material to present to a female client who has frequent UTIs. Which of the following information should the nurse include? (Select all that apply)
a. Avoid sitting in a wet bathing suit
b. Wipe the perineal are back to front following elimination
c. Empty the bladder when there is an urge to void
d. Wear synthetic fabric underwear
e. Take a shower daily
a. Avoid sitting in a wet bathing suit
c. Empty the bladder when there is an urge to void
e. Take a shower daily
4. CHAPTER 60
A nurse is caring for several clients. Which of the following clients are at risk for developing pyelonephritis? (Select all that apply)
a. A client who is at 32 weeks of gestation
b. A client who has kidney calculi
c. A client who has a urine pH of 4.2
d. A client who has a neurogenic bladder
e. A client who has diabetes mellitus
a. A client who is at 32 weeks of gestation
b. A client who has kidney calculi
d. A client who has a neurogenic bladder
e. A client who has diabetes mellitus [Show Less]