ATI Med-Surg: Renal & Urinary (45 Questions) With Verified Answers ATI Med-Surg: Renal & Urinary (45 Questions)
1. A nurse is providing teaching to a
... [Show More] young adult client who has a history of calcium oxalate renal calculi.
Which of the following instructions should the nurse include?1.A nurse is assessing a client who is 1 week
postoperative following a living donor kidney transplant. Which of the following findings indicates the client
is experiencing acute kidney rejection?
Correct Answer: A. Blood pressure 160/90 mmHg
Due to the kidneys’ role in fluid and blood pressure regulation, a client who is experiencing rejection can
have hypertension.
Incorrect Answers:
B. Manifestations of acute kidney rejection can include an increase in serum creatinine. This finding is
within the expected reference range.
C. Manifestations of acute kidney rejection can include an increase in sodium. This finding is within the
expected reference range.
D. Manifestations of acute kidney rejection can include decreased urine output, anuria, oliguria (<30
mL/hr), and weight gain.
2.A nurse is caring for a client who has manifestations of acute tubular necrosis (ATN) following a kidney
transplantation. Which of the following interventions should the nurse anticipate for this client? (Select all
that apply.)
Correct Answers:
A. Hemodialysis
B. Biopsy
C. Immunosuppression
Clients who develop ATN after transplantation surgery might need dialysis until they have an adequate
urine output and their BUN and creatinine levels stabilize. Because the development of ATN after
transplantation surgery mimics the symptoms of rejection of the transplanted kidney, clients have to
undergo a biopsy to determine the correct diagnosis. Immunosuppressive medication therapy is essential
after kidney transplantation to protect the new kidney.
Incorrect Answers:
D. Balloon angioplasty corrects renal artery stenosis, which is a potential complication of kidney
transplantation.
E. Surgery corrects several other complications of kidney transplantation such as graft rupture.
3.A nurse is providing teaching to a young adult client who has a history of calcium oxalate renal calculi.
Which of the following instructions should the nurse include?
Correct Answer: B. "Consume 1,000 mg of dietary calcium daily."
Clients who are prone to the development of calcium oxalate stones should consume the recommended
daily allowance for calcium for their age. The RDA for calcium for adults ages 19 to 50 is 1,000 mg daily.
Calcium should be obtained from dietary sources rather than supplements that can promote the
development of renal calculi.
Incorrect Answers:
A. Clients who are prone to renal calculi should limit beverages with a high sugar content such as fruit
punch or juice because these beverages can promote the development of renal calculi.
C. Clients who are prone to the development of calcium oxalate stones should avoid taking nutritional
supplements, such as vitamin C. Taking 1 g of vitamin C daily can result in toxicity and promote the
development of renal calculi.
D. Clients who are prone to renal calculi should exclude bran from their diet because bran is high in
oxalates, which can precipitate the formation of renal calculi. [Show Less]