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The nurse is speaking with a client who underwent a minimally invasive procedure treatment for recurrent urolithiasis. Which instructions are appropriate to reinforce in the teaching plan? Select all that apply. 1. Drink at least 3000 mL of fluid each day. 2. Expect some intermittent hematuria to occur. 3. Complete the full course of prescribed antibiotics. 4. Take acetaminophen (Tylenol) if chills and fever occur. 5. Filter urine and collect any stones to take to the urological health care provider.

1. Drink at least 3000 mL of fluid each day. 3. Complete the full course of prescribed antibiotics. 5. Filter urine and collect any stones to take to the urological health care provider.

A client being hemodialyzed suddenly becomes short of breath and complains of chest pain. The client is tachycardic, place, and anxious and the nurse suspects air embolism. What are the priority nursing actions? Select all that apply. 1. administer oxygen to the client 2. continue dialysis at a slower rate after checking the lines for air 3. notify the HCP and RRT 4. stop dialysis, and turn the client on the left side with head lower than feet 5. bolus the client with 500 mL of normal saline to break up the air embolus

1. administer oxygen to the client 3. notify the HCP and RRT 4. stop dialysis, and turn the client on the left side with head lower than feet

The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. Which actions should the nurse take? Select all that apply. 1. check the level of the drainage bag 2. reposition the client to his or her side 3. contact the HCP 4. place the client in good body alignment 5. check the peritoneal dialysis system for kinks 6. increase the flow rate of the peritoneal dialysis solution

1. check the level of the drainage bag 2. reposition the client to his or her side 4. place the client in good body alignment 5. check the peritoneal dialysis system for kinks

The nurse is reviewing a client's record and notes that HCP has documented that the client has chronic renal disease. On review of the lab results, the nurse most likely would expect to note which finding? 1. elevated creatinine level 2. decreased hemoglobin level 3. decreased RBC count 4. increased number of WBCs in the urine

1. elevated creatinine level

A client with acute kidney injury has a serum potassium level of 7.0 mEq/L. The nurse should plan which actions as a priority? Select all that apply. 1. place the client on a cardiac monitor 2. notify the HCP 3. put the client on NPO status except for ice chips 4. review the client's medications to determine if any contain or retain potassium 5. allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration

1. place the client on a cardiac monitor 2. notify the HCP 4. review the client's medications to determine if any contain or retain potassium

A child is diagnosed with glomerulophritis after presenting with mails, weight gain, edema, and headache. The primary health care provider prescribes anitbitioics and strict bedrest. which explanation are best to give the client and caregivers regarding the strict bedrest prescription? 1. promotes diuresis 2. prevents injury 3. promotes rest 4. stimulates RBC production 5. decreases protein breakdown

1. promotes diuresis 3. promotes rest 5. decreases protein breakdown

Which statements indicate an understanding of the necessary dietary modifications of a client diagnosed with chronic kidney disease? Select all that apply.1. "I should avoid coffee, and tea is preferable. 2. "I should avoid eggs, and a bagel is preferable. 3. "I should avoid salt, and soy sauce is preferable. 4. "I should avoid salt, and salt substitutes are preferable. 5. "I should consume approximately 40 g of protein daily. 6. "I should avoid carbonated sodas, and milk is preferable."

2. "I should avoid eggs, and a bagel is preferable. 5. "I should consume approximately 40 g of protein daily. limit protein

An alkaline-ash diet is prescribed for a client with renal calculi. Which diet menu does the nurse advise the client to select? 1. Chicken, rice, and cranberries 2. A spinach salad, milk, and a banana 3. Peanut butter sandwich, milk, and prunes 4. Pasta with shrimp, tossed salad, and a plum

2. A spinach salad, milk, and a banana

A client, who had experienced significant blood loss in an automobile crash, was admitted to the hospital 2 days earlier. The nurse observes the client for which signs/symptoms that indicate acute kidney injury (AKI)? Select all that apply. 1. Hematuria 2. Elevated urine specific gravity 3. Severe spasmodic pain radiating to the groin area 4. Rising serum blood urea nitrogen (BUN) and creatinine levels 5. Urine output averaging 25 mL per hour while receiving an intravenous infusion at 150 mL/hour

2. Elevated urine specific gravity 4. Rising serum blood urea nitrogen (BUN) and creatinine levels 5. Urine output averaging 25 mL per hour while receiving an intravenous infusion at 150 mL/hour

The nurse is providing dietary instructions to a client with renal calculi, and the laboratory analysis has revealed that the calculus is composed of uric acid. The nurse tells the client that it would be helpful to make which dietary changes? 1. Increase intake of seafood in the diet. 2. Increase intake of legumes in the diet. 3. Include organ meat type foods in the diet. 4. Increase intake of cranberries and citrus fruits.

2. Increase intake of legumes in the diet. Rationale: Dietary instructions to the client with a uric acid type kidney stone include increasing legumes, green vegetables, and fruits (except prunes, grapes, cranberries, and citrus fruits) to increase the alkalinity of the urine. The client should also be instructed to decrease purine sources such as organ meats, gravies, red wines, goose, venison, and seafood.

A client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, which is most important for the nurse to assess? 1.The injection site for itching and edema 2.The white blood cell counts and platelet counts 3.Whether the client is experiencing fatigue and joint pain 4.Whether the client is experiencing a metallic taste in the mouth, and a loss of appetite

2.The white blood cell counts and platelet counts

The nurse develops a plan of care for a client with deep vein thrombosis. Which is the best position in which the nurse should place the client? 1. Out-of-bed activities as desired 2. Bed rest with the affected extremity kept flat 3. Bed rest with elevation of the affected extremity 4. Bed rest with the affected extremity in a dependent position

3. Bed rest with elevation of the affected extremity

A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hr. The nurse determines that the client is receiving the therapeutic effect based on which results? 1.Prothrombin time of 12.5 seconds 2.Activated partial thromboplastin time of 28 seconds 3.Activated partial thromboplastin time of 60 seconds 4.Activated partial thromboplastin time longer than 120 seconds

3.Activated partial thromboplastin time of 60 seconds

The nurse is watching the cardiac monitor and notices that a client's rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats per minute. The nurse determines that the client is experiencing which dysrhythmia? 1.Sinus tachycardia 2.Ventricular fibrillation 3.Ventricular tachycardia 4.Premature ventricular contractions

3.Ventricular tachycardia

Which cardiac biomarker would the nurse anticipate the doctor to order for a patient with suspected MI that provides the most accurate data? A. Troponin B. Myoglobin C. CKMB D. AST/ ALT

A. Troponin

A nurse is ordered to give captopril 25mg oral q6h. The nurse looks at the patients current medications and questions which classification of medication that could possibly decrease the effectiveness of hypertension medication? A. Beta-blockers B. NSAIDS C. Labetolol D. Heparin

B. NSAIDS

A patient is prescribed captopril. What would the nurse tell the patient as the most common side effect that occurs with this drug? A. dizziness B. cough C. rash D. heart attack

B. cough