Unit 4: Elimination Adaptive ATI Quiz

A nurse is reinforcing dietary teaching with a client who has a history of kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3.8L (4 quarts) of water throughout the day.

A nurse is reinforcing teaching about urinary tract infections (UTIs) with a client. Which of the following manifestations should the nurse include?

Back Pain

A nurse is collecting data from a client who is 1 week postoperative following a living donor kidney transplant. Which of the following findings should indicate to the nurse that the client is experiencing acute kidney rejection?

Blood pressure 160/90 mmHg

A nurse is collecting data on a client who is 4 hours postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?

Blood-tinged urine in the drainage bag.

A nurse is reinforcing dietary teaching with a client who has late-stage chronic kidney disease (CKD). Which of the following nutrients should the nurse instruct the client to increase in her diet?

Calcium

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the dialysate output is less than the input and that the client's abdomen is distended. Which of the following actions should the nurse take?

Change the client's position.

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the client's electrolyte values.

A nurse is assisting with planning care for a client who had a nephrostomy tube inserted 8 hr ago. Which of the following actions should the nurse include in the client's plan of care?

Check the skin at the nephrostomy site for irrigation from urine leakage.

A nurse is collecting data from a client who has urolithiasis and reports pain in his thigh. The nurse should identify that this findings indicates the stone is in which of the following structures?

Ureter

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make?

Avoid taking blood pressure on the client's left arm.

A nurse is collecting data from a client who is receiving peritoneal dialysis. Which fo the following findings should the nurse report to the provider immediately?

Cloudy Effluent

A nurse is collecting data from a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider?

Cloudy, yellow drainage

A nurse is reinforcing teaching with a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include in the teaching?

Consume 1,000 milligrams of dietary calcium daily.

A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate (TURP). After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider?

Decreased urine output

A nurse is reinforcing teaching with a client prior to a cystoscopy. Which of the following statements should the nurse make?

Expect to have pink-tinged urine after this procedure.

A nurse is reinforcing dietary teaching with a client who has chronic renal failure. Which of the following food choices by the client indicates the teaching has been understood?

Grilled Fish

A nurse is collecting data from a client who has an injury to the lower abdomen following a motor-vehicle crash. The nurse should identify that which of the following findings is a manifestation of bladder trauma?

Hematuria

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.)

Hemodialysis Biopsy Immunosuppression

A nurse is caring for a client who has chronic glomerulonephritis with oliguria. For which of the following electrolyte imbalances should the nurse monitor?

Hyperkalemia

A nurse is reviewing the laboratory findings of a client who has chronic kidney disease. The client reports significant, persistent nausea and muscle weakness. Which of the following findings should the nurse expect?

Hyperkalemia

A nurse is reviewing the laboratory report of a client who has chronic kidney disease (CKD). The nurse notes the following laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL, Which of the following findings is the priority for the nurse to report to the provider?

Hyperkalemia

A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following statements should the nurse provide teaching reinforcement?

I prefer tub baths to showering.

A nurse is reinforcing teaching with a client who is postoperative prior to a transurethral resection of the prostate (TURP). Which of the following client statements indicates an understanding of the information?

I will feel the urge to urinate following this procedure.

A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?

I will perform intermittent self-catheterization every 2 to 3 hours.

A nurse is reinforcing teaching with a client who has a history of urinary tract infections (UTIs). Which of the following client statements indicates the need for additional instruction?

I will use a vaginal douche daily.

A nurse is assisting with the precaution of an in-service program about the stage of acute kidney injury (AKI). Which of the following pieces information should the nurse suggest about prerenal azotemia?

Interference with the renal perfusion causes prerenal azotemia.

A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. The nurse notes no drainage in the client's urinary drainage bag over 1 hour. Which of the following actions should the nurse take?

Irrigate the indwelling urinary catheter with a syringe.

A nurse is reinforcing teaching with a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include?

Limit fluid intake.

A nurse is collecting data from a client who has acute kidney injury (AKI). According to the RIFLE classification system, which of the following findings should the nurse identify as an indication that the client has end-stage kidney disease?

No urine output without renal replacement therapy for more than 3 months.

A nurse is contributing to the plan of care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following interventions should the nurse recommend?

Offer the client a bedpan every 2 hours.

A nurse is reinforcing teaching about collecting a 24-hour urine specimen for creatinine clearance with a newly licensed nurse. Which of the following instructions should the nurse include?

Place signs in the bathroom as a reminder about the test in progress.

A nurse is checking the laboratory values of a client who has chronic kidney disease. The nurse should expect evaluations in which of the following values?

Potassium and magnesium

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action?

Relieve the client's pain.

A nurse is collecting data from a client who is postoperative following extracorporeal shockwave lithotripsy (ESWL). The nurse should identify that which of the following findings is the priority?

Report of palpitations

A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following actions should the nurse take?

Report viscous drainage with clots to the provider.

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Respiratory Distress

A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? (Select all that apply.)

Take allopurinol as prescribed. Exercise several times a week. Limit intake of foods high in purine.

A nurse is caring for a client who has just returned from the surgical suite following a right nephrectomy. Which of the following indicates that the client is meeting a successful short-term goal following this procedure?

Urinary output is 35 to 50 mL/hr consistently.

A nurse is preparing a client who is schedules for an intravenous pyelogram (IVP). Which of the following findings should the nurse report to the provider?

Vomiting and diarrhea for the last 6 hours.

A nurse is caring for a client who is scheduled to receive intermittent peritoneal dialysis. Which of the following actions should the nurse take?

Weight the client before and after each dialysis treatment.

A nurse is reinforcing teaching with a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?

Wipe from front to back after defecation.

A nurse is reinforcing teaching about a prostate- specific antigen (PSA) test with a client. Which of the following statements should the nurse make?

You don't need to fast prior to the PSA test.

A nurse is reinforcing teaching with a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?

You should complete the entire cycle of antibiotic therapy.

A nurse is reinforcing teaching with a client prior to a renal biopsy. Which of the following statements should the nurse make?

You will need to be on bed rest following the procedure.