ATI Dynamic Quiz Med Surg Renal and Urinary

"I prefer taking tub baths to showering."

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

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

A nurse is providing teaching to 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? (SATA)

"I will use a vaginal douche daily"

A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following statements should indicate to the nurse the need for additional instructions?

"I will feel the urge to urinate following this procedure."

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

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

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?

"Consume 1,000 mg of dietary calcium daily."

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?

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 findings should the nurse expect?

Hyperkalemia

A nurse is reviewing the laboratory report of a client who has chronic kidney disease. The nurse finds the following laboratory tests 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 findings if the priority for the nurse to report to the provider?

Back pain

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

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

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

"You should complete the entire cycle of antibiotic therapy."

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

Limit fluid intake

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

"Expect to have pink-tinged urine after this procedure."

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make?

You will need to be on bed rest following the procedure

A nurse is teaching a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make?

Protein

A nurse is teaching a client with chronic kidney disease about predialysis dietary recommendations. The nurse should recommending restricting the intake of which of the following nutrients?

"Wipe from front to back after defecation."

A nurse is teaching 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?

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

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

Calcium

A nurse is providing dietary teaching 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?

Grilled fish

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

Vomiting and diarrhea for the last 6 hour

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

Interference with renal perfusion causes prerenal azotemia

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

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

A nurse is assessing a client who has AKI. According to the RIFLE classification system, which of the following findings indicates that the client has end-stage kidney disease?

Blood pressure 160/90 mmHg

A nurse is assessing a client who is 1 week postoperative following a living donor kidney transplant. Which of the following findings indicates the client is experiencing acute kidney rejection?

Blood-tinged urine in the drainage bag

A nurse is assessing a client who is 4 hour postoperative following a TURP and has an indwelling urinary catheter. Which of the following findings should the nurse expect?

Potassium 3.0 mEq/L

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

Headache

A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the following findings indicates that the client is developing dialysis disequilibrium syndrome (DDS)?

Hematuria

A nurse is assessing a client who was brought to the ED following a MVA. Which of the following findings is a manifestation of bladder trauma?

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

A nurse is caring for a client who had a nephrostomy tube inserted 8 hours ago. which of the following actions should the nurse include in the client's plan of care?

Relieve the client's pain

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?

Hyperkalemia

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

Viscous urinary output with clots

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

Urinary output is 35 to 50 mL/hr consistently

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?

Hemodialysis Biopsy Immunosuppression

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.)

Check the client's electrolyte values

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

Turn the client from side to side

A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take?

peritonitis

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

Change the client's position.

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?

Potassium and magnesium

A nurse is checking the laboratory values of a client who has CKD. The nurse should expect elevations in which of the following values?

Ureter

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

decreased urine output

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?

Irrigate the indwelling urinary catheter with a syringe

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?

Cloudy effluent

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

Drink 3.8 L of water throughout the day

A nurse is conducting dietary teaching with a client who has a history of renal calculi. Which of the following instructions should the nurse include in the teaching?

Dysrhythmias

A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy (ESWL). The nurse should identify which of the following findings is the priority?

Offer the client a bedpan every 2 hours

A nurse is planning 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?