Urinary

A nurse is caring for a client with end-stage renal disease who has a mature arteriovenous (AV) fistula. What nursing care should be included in the client's plan of care? (Select all that apply.) 1.Auscultate for a bruit. 2.Palpate the site to identify a thrill. 3.Irrigate with saline to maintain patency. 4.Avoid drawing blood from the affected extremity. 5.Keep the fistula clamped until ready to perform dialysis.

1.Auscultate for a bruit. 2.Palpate the site to identify a thrill. 4.Avoid drawing blood from the affected extremity.

When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do? 1.Drink a glass of water 2.Turn from side to side 3.Deep breathe and cough 4.Rotate the catheter periodically

2.Turn from side to side

A client is to have hemodialysis. What must the nurse do before this treatment? 1.Obtain a urine specimen to evaluate kidney function. 2.Weigh the client to establish a baseline for later comparison. 3.Administer medications that are scheduled to be given within the next hour. 4.Explain that the peritoneum serves as a semipermeable membrane to remove wastes.

2.Weigh the client to establish a baseline for later comparison.

A nurse is monitoring a client with renal failure for signs of fluid excess. Which finding does the nurse identify as inconsistent with fluid excess? 1.Increased weight 2.Distended neck veins 3.Orthostatic hypotension 4.Abnormal breath sounds

3.Orthostatic hypotension

A male client has discharge from his penis. Gonorrhea is suspected. To obtain a specimen for a culture, the nurse should: 1.Instruct the client to provide a semen specimen 2.Swab the discharge when it appears on the prepuce 3.Teach the client how to obtain a clean catch specimen of urine 4.Swab the drainage directly from the urethra to obtain a specimen

4.Swab the drainage directly from the urethra to obtain a specimen

A lithotripsy to break up renal calculi is unsuccessful, and a nephrolithotomy is performed. Which postoperative clinical indicator should the nurse report to the health care provider? 1.Passage of pink-tinged urine 2.Pink drainage on the dressing 3.Intake of 1750 mL in 24 hours 4.Urine output of 20 to 30 mL/hr

4.Urine output of 20 to 30 mL/hr

A client with a history of benign prostatic hypertrophy asks whether cranberry juice prevents bladder infections. The nurse replies that cranberry juice may be helpful because it: 1.Increases acidity of the urine 2.Soothes irritated bladder walls 3.Improves glomerular filtration rate 4.Destroys microorganisms in the bladder

1.Increases acidity of the urine

A nurse is evaluating a client's response to fluid replacement therapy. Which clinical finding indicates adequate tissue perfusion to vital organs? 1.Urinary output of 30 mL in an hour 2.Central venous pressure reading of 2 mm Hg 3.Baseline pulse rate of 120 that decreases to 110 beats/min within a 15-minute period 4.Baseline blood pressure of 50/30 that increases to 70/40 mm Hg within a 30-minute period

1.Urinary output of 30 mL in an hour

The nurse is providing postoperative care eight hours after a client had a total cystectomy and the formation of an ileal conduit. What assessment finding should be reported immediately? 1.Edematous stoma 2.Dusky-colored stoma 3.Absence of bowel sounds 4.Pink-tinged urinary drainage

2.Dusky-colored stoma

A nurse is caring for a client who is scheduled for cystoscopy. What should the nurse include in the client's postprocedure teaching plan? 1.Remain flat in bed for the first 24 hours 2.Increase fluid intake for three to four days postoperatively 3.Notify the nurse if there is any drainage on the dressing 4.Bear down when attempting to void during the first six hours

2.Increase fluid intake for three to four days postoperatively

A nurse is assessing a client who is scheduled for a liver biopsy. What assessment finding needs to be reported immediately because it warrants a postponement of the liver biopsy? 1.Mental confusion 2.International normalized ratio (INR) of 4.0 3.Presence of an infectious disease 4.Foods high in vitamin K eaten before the biopsy

2.International normalized ratio (INR) of 4.0

An older adult client is admitted to the hospital with a diagnosis of chronic kidney disease. The nurse reviews the client's medical record. Which clinical finding is a priority to be communicated to the primary health care provider? 1.Sodium level 2.Potassium level 3.Creatinine results 4.Elevated blood pressure

2.Potassium level

A nurse is caring for a client who had a kidney transplant. Which test is most important for determining whether a client's newly transplanted kidney is working effectively? 1.Renal scan 2.Serum creatinine 3. 24-hour urine output 4.White blood cell (WBC) count

2.Serum creatinine

A nurse obtains a health history from a client with the diagnosis of renal calculi. The nurse concludes that the factor that most likely contributed to the calculi development is the client's: 1.High cholesterol diet 2.Excessive exercise program 3.Excess ingestion of antacids 4.Frequent consumption of alcohol

3.Excess ingestion of antacids

A client experiences difficulty in voiding after an indwelling urinary catheter is removed. The nurse determines that this difficulty most likely is related to: 1.Fluid imbalance 2.Sedentary lifestyle 3.Interruption in previous voiding habits 4.Nervous tension following the procedure

3.Interruption in previous voiding habits

A nurse is caring for a client with an undescended testicle. The nurse teaches the client that the main reason why the testicles are suspended in the scrotum is to: 1.Protect the sperm from the acidity of urine. 2.Facilitate the passage of sperm through the urethra. 3.Protect the sperm from high abdominal temperatures. 4.Facilitate their maturation during embryonic development.

3.Protect the sperm from high abdominal temperatures.

A nurse is caring for a client with acute kidney failure who is receiving a protein-restricted diet. The client asks why this diet is necessary. What information should the nurse include in a response to the client's questions? 1.A high-protein intake ensures an adequate daily supply of amino acids to compensate for losses. 2.Essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein synthesis. 3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. 4.Urea nitrogen cannot be used to synthesize amino acids in the body, so the nitrogen for amino acid synthesis must come from the dietary protein.

3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

The nurse provides education to a client about the side effects of furosemide (Lasix). Which client statements indicate that the teaching is understood? (Select all that apply.) 1."I must not eat citrus fruits." 2."I should wear dark glasses." 3 ."I should avoid lying flat in bed." 4."I should change my position slowly." 5."I must eat a food that contains potassium every day."

4."I should change my position slowly." 5."I must eat a food that contains potassium every day."

A 40-year-old client scheduled for a hemi-colectomy because of ulcerative colitis asks if having a hemi-colectomy means wearing a pouch and having bowel movements in an abnormal way. Which is the best response by the nurse? 1."Yes, hemi-colectomy is the same as a colostomy." 2."Yes, but it will be temporary until the colitis is cured." 3."No, that is necessary when a tumor is blocking the rectum." 4."No, only part of the colon is removed and the rest reattached."

4."No, only part of the colon is removed and the rest reattached."

A client is admitted to the hospital with severe flank pain, nausea, and hematuria caused by a ureteral calculus. A lithotripsy is scheduled. What should be the nurse's initial intervention? 1.Strain all urine output. 2.Increase oral fluid intake. 3.Obtain a urine specimen for culture. 4.Administer the prescribed analgesic

4.Administer the prescribed analgesic

A client with a left ureteral calculus is scheduled for a transurethral ureterolithotomy. During the preoperative assessment, the nurse expects the client to report pain: 1.That is a boring-type pain that is located in the left flank 2.That occurs with each urination and is located at the level of the kidneys 3.That is dull and constant and located in the costovertebral angle 4.That is spasmodic and located in the left side and radiating to the suprapubic area

4.That is spasmodic and located in the left side and radiating to the suprapubic area