A nurse is reinforcing teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse
... [Show More] include? - "The procedure determines whether you have a kidney stone." KUB can Identify renal calculi, stricture, Ca deposits and obstruction. (No use of contrast dyes in the procedure, no use for enema bc it doesn't affect GI sys., client needs to be in supine position)
A nurse is monitoring a client who had a kidney biopsy for postoperative complications. Which of the following complication should the nurse ID as causing the greatest risk to the client? - Hemorrhage- from the lack of blood clotting on puncture site. (Infection and pain are risks but not the greatest risk; hematuria common complication after 48-72hr of the procedure)
A nurse is caring for a client who has T2DM and will have excretory urography. Prior to the procedure, which of the following actions should the nurse take? (Select all that apply) - Identify an allergy to seafood, Withhold metformin for 24hr, Administer enema, Monitor for asthma (no need for blood coagulation profile—its usually for kidney biopsy for risk for bleeding)
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take? - Discard the first void when beginning the test (Store collected urine on ice/fridge, note on medical record or on toilet not on the door bc HIPPA; Start test over if any urine collection was missed)
A nurse is collecting data from a client who has returned to the medical-surgical unit following a CT scan of the kidney with IV contrast. Which of the following findings should the nurse ID as an indication the client is experiencing an allergic reaction to the contrast material? - Skin hives (tachycardia, client that undergo cystoscopic examination—usually have pink tinged urine; hyperpyrexia aka fever—indication of infection not allergic rxn)
A nurse is reinforcing reaching with a client who has chronic kidney DZ and is to begin hemodialysis, which of the following info should the nurse include? - Hemodialysis returns a balance to blood electrolytes by removing excess Na, K, Fluids, Waste products, Maintains acid/base balance. (Hemodialysis doesn't restore kidney function but sustains life, doesn't replace hormonal function of the renal system RAAS, Client should be on a restrictive diet that's high in folate with increased protein, yet low Na, K & Phosphorus.
A nurse is caring for a client who has acute kidney injury and is scheduled for hemodialysis. Which of the following actions should the nurse take? (Select all that apply) - Review the meds the client currently takes-withhold meds until after tx, Check the AV fistula for a bruit-ensure patency of fistula, Measure the client's wt-compare wt before and after to maintain fluid removed during procedure, check serum electrolytes-determine the need for dialysis and the effectiveness (No need to calculate the clients hourly urine output bc every client varies depending on kidney function, avoid using access site for venipuncture bc tourniquet causes loss of access)
A nurse is contributed to the plan of care for a client who received hemodialysis. Which of the following interventions should the nurse suggest including in the plan of care? (Select all that apply) - Check BUN and blood creatinine-presence and degree of uremia, administer meds the nurse withheld prior to dialysis-withhold partial dialyze meds & anti-HTN that can cause hypotension, observe for findings of hypovolemia-rapid decrease in fluid vol, monitor the access site for bleed-admin of heparin (Avoid taking BP on arm with AV access, itll cause it to collapse) [Show Less]