Questions Renal

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse report immediately to the provider?

Purulent dialysate outflow

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus. Which of the following values should give the nurse the best indication of the renal function?

Serum creatinine

A nurse is monitoring an older adult female client who had a myocardial infarction for the development of an acute kidney injury. Which of the following findings should the nurse identify as indicating an increased risk of acute kidney injury?

Serum creatinine 1.8 mg/dL

nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury

Serum creatinine 6 mg/dL

A nurse is caring for a client who had chronic kidney disease and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can's I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

Serum phosphorus levels.

A nurse is caring for a client who has end stage renal disease. Which of the following are expected findings?

Slurred speech, bone pain, and pruritus

a nurse is caring for an older adult client who has a urinary tract infection. which of the following manifestations should the nurse identify as a finding specifically associated with this client?

confusion

A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?

Cold and numb numbness distal to the fistula site.

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication

The hematocrit (Hct)

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Urine output of 175 mL in the past 8 hr.

A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram. Which of the following statements should the nurse include in the teaching?

after the procedure you will be encouraged to drink plenty of fluids.

A nurse is discussing kidney transplant with a client who has end-stage renal disease. Which of the following should the nurse identify as a contraindication for this treatment?

alcohol use disorder

a nurse is caring for a school aged child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

low sodium, fluid restricted

a nurse is caring for a client who will have blood sampling for a serum creatinine level and ask what this test shows. which of the following responses should the nurse make?

the test will tell your doctor how your kidneys are functioning.

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identity as understanding of the teaching?

I will make a list of my favorite beverages.

A nurse is providing teaching to a client about measures to prevent urinary tract infection. Which of the following client statements indicates a need for further teaching?

I will need to wipe my perineal area from back to front after urination.

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Iron

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Metformin

a nurse is caring for a client 4 hr postoperative following a kidney biopsy. which of the following interventions should the nurse take?

Monitor for hematuria and check for flank pain

A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

You should anticipate pain the first week during the inflow of dialysate.

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following statements by the client indicates a need for clarification?

adding pecans wil lbe a change i can redily make.

a nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. which of the following actions is the nurse's priority?

administer pain medication.

a nurse is planning care for a client who is scheduled to have a kidney biopsy. which of the following information should the nurse plan to include in the plan?

obtain a urine specimen prior to the procedure, obtain written, informed consent, maintain NPO status prior to the procedure, and obtain coagulation studies

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values would the nurse expect?

ph. 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg

A nurse is caring for a client who has acute kidney injury. Which of the following arterial blood gas values would the nurse expect this client to have?

ph. 7.26, HCO3, PaCO2 30

a nurse is reviewing the laboratory data of a client following a hemodialysis treatment. the nurse should expect a decrease in which of the following laboratory values?

potassium

a nurse is teaching a client who has prerenal dialysis end stage kidney disease about diet. which of the following instructions should the nurse include?

reduce intake of foods high in potassium

A nurse is assessing a client who has end stage kidney disease and is receiving hemodialysis. Which of the following should the nurse identify as an indication the client is experiencing fluid overload?

the client has a 5 lb weight gain since yesterday.

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

A low protein diet reduces the risk for uremia.

A nurse is reviewing the laboratory test results from a client who ha prerenal acute kidney injury. Which of the following electrolyte imbalances should the nurse expect?

Hyperkalemia?

A nurse is caring for a client who has a new arteriovenous graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Auscultate the site for a bruit

a nurse is caring for a client who has a new arteriovenous graft in his left in his left forearm. which of techniques should the nurse use to assess the patency of the graft?

Auscultate the site for a bruit.

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

BUN 45 mg/dL and creatinine 8 mg.dL

A nurse is preparing a client for kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

Bleeding tendencies

A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis. Which of the following information should the nurse include in the teaching.

CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires.

a nurse is providing teaching for a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three time daily. For which of the following adverse effect should the nurse inform the client?

Constipation

a nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. which of the following statements by the newly licensed nurses indicates an understanding of the values?

Creatinine levels are increased in clients who have acute kidney injury

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

Daily weight

A nurse is caring for a client immediately following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

Dialysis disequilibrium

A nurse is monitoring a client who has acute kidney injury. Which of the following findings should the client nurse expect?

Elevated BUN

A nurse is caring for a client who has polycystic kidney disease. Which of the following findings should the nurse expect?

Flank pain.

A nurse caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Headache, and restlessness.

A nurse is caring for a client who has end stage kidney disease and reports having SOB and swelling in his lower extremities. Upon assessment the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?

Hypervolemia

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Hypokalemia

A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse identify as an indication of anticipatory greiving.

I just cant believe that this dialysis is going to ruin my whole life.

A nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following statements indicates an understanding of the teaching.

I need to limit my sun exposure and wear sunscreen while on this medication.

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

Nausea and vomiting

A nurse is teaching a client about self administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

The microwave in my kitchen can warm the solution before I use it.

A nurse is teach a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid?

Tomatoes, bananas, and raisins.

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Urine output is less than 400 mL per 24 hr.

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Vancomycin

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange.

Warm the dialysate solution prior to installation.

A nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following actions should the nurse implement?

Weigh the client after he has voided.