Renal Pretest 89

The nurse provides home care instructions to a client undergoing hemodialysis with regard to care of an arteriovenous ( AV ) fistula . Which statement by the client indicates an understanding of the instructions

" I should check the fistula every day by feeling it for a vibration . "

The nurse is preparing a client for discharge after having a cystoscopy . Which statement made by the client demonstrates an understanding of the discharge instructions ?

" I will report blood in my urine if it occurs over 24 hr . "

A routine urinalysis is performed on a 59 - year - old female client diagnosed with kidney disease and electrolyte imbalances . Which abnormality would the nurse suspect to be documented ?

Abnormal specific gravity

A nurse is caring for a client who reports frequent urination . When assessing the urinalysis report , the nurse should look for what component to confirm a normal urinalysis ?

Absence of glucose in the urine

A sulfonamide is prescribed for a client with a urinary tract infection . During review of the client's record , the nurse notes that the client is taking warfarin sodium daily . Which prescription would the nurse anticipate for this client ?

An increase in the warfarin sodium dosage A decrease in the warfarin sodium dosage

Following identification of a mass by imaging studies , a client undergoes a needle biopsy of the kidney for a specific diagnosis . Which should the nurse consider for this procedure ?

Apply pressure to the site to minimize bleeding .

The nurse is checking the laboratory results of a 76 - year - old woman who had a urinalysis performed . The nurse notes that there is calcium in her urine . What condition does this abnormal substance in the urine signify ?

Bone degeneration

The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow . The nurse would take which actions ? Select all that apply .

Check the level of the drainage bag . Check the peritoneal dialysis system for kinks . Place the client in good body alignment . Reposition the client to his or her side .

The nurse is assisting a client with cystitis to select foods that are appropriate for an acid - ash diet . The nurse encourages the client to eat which food?

Cheese

The nurse is reviewing the laboratory results of a client being evaluated for urinary functioning and notes that bilirubin is present in the urine . What condition would the nurse suspect ?

Hepatitis

A nurse is preparing a client for an intravenous pyelogram ( IVP ) . What intervention should the nurse be prepared to implement ?

Determine whether the client is allergic to shellfish .

A client is scheduled for cystoscopy to determine which of her kidneys is diseased . Which should the nurse consider when caring for this client ?

Help the client with sitz baths to ease voiding .

A 37 - year - old male client presents at the emergency department reporting excruciating pain that comes in waves , along with nausea , vomiting , and chills . The nurse suspects the client has kidney stones . What test would be ordered to confirm or rule out this condition ?

KUB flat plate of the abdomen

A female client reports urinating incontinently when coughing , laughing , or sneezing Which instructions should the nurse reinforce to initially manage the incontinence ?

Kegel exercises

The nurse is caring for a client with kidney failure . The laboratory results reveal a magnesium level of 3.6 mEq / L ( 1.8 mmol / L ) . Which sign would the nurse expect to note in the client , based on this magnesium level ?

Loss of deep tendon reflexes

The nurse at the long - term care facility observes that an older adult client has an acute change in behavior , exhibiting lethargy and confusion . Which action should the nurse take first ?

Monitor and report immediately to the healthcare provider .

A client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril . When would the nurse plan to administer this medication ?

On return from dialysis

The nurse is preparing a client for a renal biopsy . Which position will the nurse assist the client to maintain during the procedure ?

Prone position with sandbags under the abdomen

A nurse is caring for a client experiencing urge incontinence . What should the nurse include in the client education ?

Tell the client to perform Kegel exercises daily .

A postoperative client is prescribed morphine to control pain related to knee replacement . The medication causes the client to be confused and agitated with attempts to get out of bed on her own . Restraints are ordered , which cause the client to be incontinent . What type of incontinence is this client experiencing ?

latrogenic incontinence