ATI RN Medical Surgical Renal and Urinary Online Practice Test A nurse is performing an admission assessment for a client who has severe chronic kidney
... [Show More] disease (CKD). Which of the following findings should the nurse expect? A. Tachypnea B. Hypotension C. Exophthalmos D. Insomnia The nurse should expect a client who has severe CKD to have tachypnea because of metabolic acidosis. Metabolic acidosis decreased pH in blood and body tissues as a result of an upset in metabolism A nurse is caring for a client immediately following a kidney transplant. The nurse should identify which of the following findings as a possible indication of a delay in functioning of the transplanted kidney? A. Blood pressure 110/58 mm Hg B. Incisional tenderness C. Pink and bloody urine D. Urine output 30 mL/2 hr The client should have a minimum urine output of 30 mL/hr. Following a renal transplant, the nurse should monitor for a decrease in the hourly urine output as an indication that the kidney is not functioning adequately. Expected finding immediately after kidney transplant surgery: Pink and bloody urine ; the urine becomes clear yellow within several days A nurse is planning care for a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat urolithiasis. Which of the following actions should the nurse plan to take? A. Place the client in semi-Fowler's position. B. Prepare to intubate the client. C. Monitor urine flow through a nephrostomy tube. D. Apply electrodes for cardiac monitoring.
The nurse should apply electrodes for continuous monitoring of the client's cardiac rhythm during ESWL. This monitoring allows the provider to synchronize shock waves with the R wave. Extracorporeal shock wave lithotripsy (ESWL) procedure using ultrasound outside the body to bombard and disintegrate a stone within; most commonly used to treat urinary stones above the bladder Urolithiasis formation of urinary calculi (kidney stones) A nurse is preparing to assess a client who received hemodialysis 1hr ago. Which of the following assessments should the nurse perform first? A. Potassium level B. Body weight C. Creatinine level D. Vital signs When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority information to assess is the client's vital signs. After hemodialysis, the client is at risk for hemodynamic instability, which includes hypotension, dysrhythmia, and hemorrhage. A nurse is providing teaching to a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. Which of the following client statements indicates an understanding of teaching? A. "This should not affect my ability to function sexually." B. "I should expect to gain some weight during the next few weeks." C. "I will need to avoid foods that produce intestinal gas." D. "I must insert a catheter through my stoma to drain the urine." The client should perform self-catheterization to drain the urine from the continent internal ileal reservoir [Show Less]