Renal PrepU Practice Questions - Roper Test 5

The client with polycystic kidney disease asks the nurse, "Will my kidneys ever function normally again?" The best response by the nurse is:

A. "As the disease progresses, you will most likely require renal replacement therapy."

A creatinine clearance test has been ordered. The nurse prepares to:

A. Collect the client's urine for 24 hours

The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. The appropriate nursing intervention is to do which of the following?

A. Contact the physician

The client is admitted to the hospital with a diagnosis of acute pyelonephritis. Which clinical manifestations would the nurse expect to find?

A. Costovertebral angle tenderness

The nurse expects which of the following assessment findings in the client in the diuretic phase of acute renal failure?

A. Dehydration

Which phase of acute renal failure signals that glomerular filtration has started to recover?

A. Diuretic

Which of the following is the priority nursing diagnosis for the client in the oliguric phase of acute renal failure?

A. Fluid volume excess

As renal failure progresses and the glomerular filtration rate (GFR) falls, which of the following changes occur?

A. Hyperphosphatemia

Mr. Billings is being seen as a client in the urology practice. He has a family history of polycystic kidney disease. Of the following assessment findings, which would you expect to find as you gather information and complete an assessment related to a polycystic kidney diagnosis?

A. Hypertension B. Pain from retroperitoneal bleeding

The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following?

A. Leukocytosis B. Abdominal distention

A 44-year-old client is in the hospital unit where you practice nursing. From the results of a series of diagnostic tests, she has been diagnosed with acute glomerulonephritis. What would you expect to find as a result of this condition?

A. Proteinuria

Which of the following terms is used to refer to inflammation of the renal pelvis?

A. Pyelonephritis

Which is the correct term for the ability of the kidneys to clear solutes from the plasma?

A. Renal clearance

The client asks the nurse about the functions of the kidney. Which should the nurse include when responding to the client?

A. Secretion of prostaglandins C. Regulation of blood pressure D. Vitamin D synthesis

As glomerular filtration decreases, which of the following occurs?

A. Serum creatinine increases B. Blood urea nitrogen (BUN) increases C. Creatinine clearance decreases

When caring for the patient with acute glomerulonephritis, which of the following assessment findings should the nurse anticipate?

A. Tea-colored urine

Which of the following is used to identify a vesicouretical reflux

A. Voiding cystourethrography

The nurse is working on the renal transplant unit. To reduce the risk of infection in a patient with a transplanted kidney, it is imperative for the nurse to do what?

A. Wash hands carefully and frequently

Which of the following is the most accurate indicator of fluid loss or gain?

A. Weight

The nurse is caring for a client with end-stage kidney disease. What arterial blood gas results are most closely associated with this disorder?

A. pH 7.20, PaCO2 36, HCO3 14

The nurse is evaluating the effectiveness of discharge teaching for the client with an ileal conduit. Which statement by the client indicates the need for further teaching by the nurse? Select all that apply.

B. "I cannot wait until I can have surgery to get rid of this ostomy." C. "I will need to change the appliance every day." E. "I will need to catheterize myself every 2-3 hours."

A history of infection specically caused by group A beta-hemolytic streptococci is associated with which of the following disorders?

B. Acute glomerulonephritis

Which hormone causes the kidney to reabsorb sodium?

B. Aldosterone

Which nursing assessment finding indicates that the client who has undergone renal transplant has not met expected outcomes?

B. Fever

Which of the following is an integumentary manifestation of chronic renal failure?

B. Gray-brown skin color

Rejection of a transplanted kidney within 24 hours after transplant is termed

B. Hyperacute rejection

Acute dialysis is indicated in which situation?

B. Impending pulmonary edema

The nurse is preparing to assess a patient's newly created stoma. Which of the following findings would the nurse include in the documentation of a healthy stoma?

B. Pink color

Which of the following is the hallmark of the diagnosis of nephrotic syndrome?

B. Proteinuria

The nurse is performing acute intermittent peritoneal dialysis (PD) on a patient who is experiencing uremic signs and symptoms. The peritoneal fluid is not draining as expected. Which of the following is the nurse's best action?

B. Turn the patient from side to side

Which of the following medications may be ordered to relieve discomfort associated with a UTI?

B. phenazopyridine (Pyridium)

The nurse is providing discharge instructions to the client with acute post- streptococcal glomerulonephritis. Which statement by the client indicates a need for further teaching?

C. "I should drink as much as possible to keep my kidneys working."

The client is admitted to the hospital with a diagnosis of acute glomerulonephritis. Which clinical manifestation would the nurse expect to find?

C. Cola-colored urine

A client has end-stage renal failure. Which of the following should the nurse include when teaching the client about nutrition to limit the effects of azotemia?

C. Increase carbohydrates and limit protein intake

The nurse is caring for a patient with a right-arm arteriovenous fistula (AVF) for hemodialysis treatments. Which of the following nursing actions is contraindicated?

C. Obtaining a blood pressure reading from the right arm

The nurse is caring for a patient receiving hemodialysis three times weekly. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?

C. Taking a BP reading on the affected arm can damage the fistula

The nurse is caring for an acutely ill patient. What assessment finding should prompt the nurse to inform the physician that the patient may be exhibiting signs of acute kidney injury (AKI)?

C. The patient's average urine output has been 10 mL/hr for several hours

The nurse is instructing a patient to perform continuous ambulatory peritoneal dialysis correctly at home. Which of the following educational information should the nurse provide to the patient?

C. Use an aseptic technique during the procedure

The nurse caring for the client with acute renal failure would question which of the following for the treatment of hyperkalemia?

C. lanthanum carbonate (Fosrenol)

Following a cystoscopy, the client has a nursing diagnosis of acute pain related to the trauma of the procedure to the urinary tract. An appropriate nursing intervention is to:

D. Assist with warm sitz bath

The nurse is treating a patient with ESKD. The nurse is concerned that the patient is developing renal osteodystrophy. Upon review of the patient's laboratory values, it is noted the patient has had a calcium level of 11 mg/dL for the past 3 days and the phosphate level is 5.5 mg/dL. The nurse anticipates the administration of which of the following medications?

D. Renagel (sevelamer)

If an indwelling catheter is necessary, the nursing interventions that should be implemented to prevent infection include

D. performing meticulous perineal care daily with soap and water