Renal & Urinary ATI
A nurse is reviewing the laboratory reports of a client who has acute kidney injury (AKI). Which of the following findings should the nurse expect? (Select all that apply.)
-BUN 30 -Urine output of 40 mL in past 3 hrs -Hematocrit 30%
A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to monitor for signs of nephrotoxicity?
A client who is receiving gentamicin for treatment of a wound infection - aminoglycoside antibiotics can injure cells of the proximal renal tubules
A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse plan to take?
Apply electrodes for cardiac monitoring
A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate?
Blood pressure the nurse sure evaluate the client for hypotension, decreased urine output, and decreased level of consciousness
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. Upon detecting an output obstruction, which of the following actions should the nurse take first?
Check the irrigation tubing for kinks
A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis (PD) treatment. Which of the following findings should the nurse report to the provider? -Greater outflow of dialysate than inflow -Weight loss -Cloudy dialysate effluent -Report of pain during inflow
Cloudy dialysate effluent
A nurse is caring for a client the night before a scheduled intravenous urography. Which of the following is the nurse's priority intervention?
Determine if the client has an allergy to iodine or shellfish
A nurse is reviewing the medical records of four clients. Which of the following conditions is a risk factor for chronic pyelonephritis?
Diabetes Mellitus
A nurse is providing discharge teaching for a client who has chronic kidney disease (CKD). Which of the following statements by the client indicates an understanding of the teaching?
I will decrease my intake of foods high in phosphorous foods high in phosphorous are hard to excrete in the kidneys
A nurse is providing teaching for a client who has chronic kidney disease (CKD). Which of the following client statements indicates an understanding of the teaching?
I will weigh myself each morning
A nurse is providing instructions regarding reduced dietary intake of potassium for a client who has chronic kidney disease. Which of the following food selections is appropriate for the nurse to recommend to the client?
One large apple
A nurse working in a women's health clinic is caring for a client who reports urinary urgency and dysuria. Which of the following additional findings should the nurse identify as an indication of a urinary tract infection (UTI)?
Pyuria
A nurse is performing an admission assessment on a client who has severe chronic kidney disease (CKD). Which of the following findings should the nurse expect for this client? Tachypnea Hypotension Exophthalmos Insomnia
Tachypnea
A nurse working in the emergency department is caring for a client who reports costovertebral angle tenderness, nausea, and vomiting. For which of the following laboratory values should the nurse notify the provider?
WBC 15,000/mm3 indicates presence of infection
A nurse is preparing a teaching plan for a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. Which of the following statements should the nurse include in the teaching plan?
You must insert a catheter through your stoma to drain the urine
A nurse is discussing hemodialysis with a newly licensed nurse. The nurse should identify that hemodialysis is contraindicated for which of the following clients?
a client who cannot receive anticoagulants
A nurse is caring for a client who has received hemodialysis. The nurse should identify that which of the following findings places the client at risk for seizures? Hypokalemia A rapid increase of catecholamines A rapid decrease in fluid Hypercalcemia
a rapid decrease in fluid decrease in fluid can result in cerebral edema and increased intracranial pressure, placing the client at risk for seizures
A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?
avoid the use of NSAIDS for pain they can further damage the kidney
A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings?
dark colored urine
A nurse is caring for a client who has chronic kidney failure and the following laboratory results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the following interventions should the nurse implement?
infuse regular insulin in dextrose 10% in water to facilitate moving potassium out of the extracellular fluid into intracellular fluid
A nurse is obtaining a voided urine culture and sensitivity for a client who has manifestations of a urinary tract infection. Which of the following actions should the nurse take?
instruct the client to initiate the flow of urine before collecting the specimen
A newly licensed nurse and a nurse preceptor are caring for a client who has just had an arteriovenous shunt placed in her left arm. Which of the following actions by the newly licensed nurse requires intervention by the preceptor?
measuring blood pressure in the shunted arm every 4 hours
A nurse is caring for a client who has acute kidney injury. Which of the following laboratory findings should the nurse report to the provider?
serum creatinine 4.0 mg/dL
A nurse is providing teaching for a client who has urge urinary incontinence. The nurse should include which of the following instructions?
set an interval for toileting based on previous voiding pattern
A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. Which of the following adverse effects should the nurse monitor for and report to the provider?
sore throat glucocorticoids depress the natural immune system
A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the treatment of calcium phosphate kidney stones. Which of the following actions is appropriate for the nurse to take?
strain all the client's urine
A nurse is caring for a client immediately following a kidney transplant. The nurse should identify which of the following client findings as a possible indication of a delay in functioning of the transplanted kidney? -Blood pressure 110/58 mm Hg -Incisional tenderness -Pink and bloody urine -Urine output 30 mL/2 hr
urine output 30 mL/2 hr
A nurse is caring for a hospitalized client who received hemodialysis 1 hr ago. When evaluating the client's status after dialysis, which of the following information should the nurse assess for first?
vital signs
A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to provide which of the following interventions?
weigh the client daily
A nurse is providing education regarding cyclosporine for a client who had a kidney transplant 2 days ago. Which of the following statements by the nurse is appropriate?
you will need to continue taking this medication to protect your new kidneys
