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.)

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

A client admitted to the hospital in the oliguric phase of acute renal failure estimates that the urine output for the last 12 hours was less than 240 mL. The nurse reviews the plan of care and notes a prescription for 900 mL of water to be given orally over the next 24 hours. The nurse concludes that this amount of fluid was prescribed to:

Compensate for both insensible and expected output over the next 24 hours

Which response should the nurse expect when assessing a client who is dehydrated? (Select all that apply.)

Confusion, Sunken eyeballs,Decreased blood pressure

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:

Excess ingestion of antacids

A nurse is assessing a client with a diagnosis of diabetes insipidus. For which signs indicative of diabetes insipidus should the nurse assess the client? (Select all that apply.)

Excessive thirst, Dry mucous membranes, Decreased urine specific gravity

What are the clinical indicators that a nurse expects when an intravenous (IV) line has infiltrated? (Select all that apply.)

Pallor, Edema, Decreased flow rate

A client is admitted to the hospital with a diagnosis of chronic kidney disease. Which responses should the nurse expect the client to exhibit? (Select all that apply.)

Paresthesias, Hypertension

The nurse is caring for a client four days after the client had a cystectomy and formation of a continent diversion. After observing mucous threads in the client's urine, the nurse should:

Recognize that this is an expected response

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?

Serum creatinine

A client is scheduled for an intravenous pyelogram (IVP). The nurse explains that on the day before the IVP the client must:

Take a laxative before going to bed

A client who has had a transurethral prostatectomy (TURP) experiences dribbling after the indwelling catheter is removed. To address this problem, an appropriate nursing response is:

"Increase your fluid intake and urinate at regular intervals."

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?

Administer the prescribed analgesic.

A nurse is caring for a client with a ureteral calculus. Which are the most important nursing actions? (Select all that apply.)

Monitoring intake and output, Straining the urine at each voiding, Administering the prescribed analgesic

A nurse is caring for a client after surgical creation of a conduit diversion. What is the major disadvantage of a conduit diversion that the nurse should consider when caring for this client?

Urine continuously drains from it.

A nurse is assessing a client for dehydration, The client has had diarrhea and vomiting for 48 hours. What are indicators of dehydration? (Select all that apply.)

Headache, The skin on the client's forehead remains tented after being pinched

A client is admitted to the hospital with urinary retention, and an indwelling urinary catheter is prescribed by the health care provider. What should the nurse do to help prevent the client from developing a urinary tract infection?

Maintain the prescribed hydration

When receiving hemodialysis, the complication of the removal of too much sodium may occur. For which clinical findings associated with hyponatremia should the nurse assess the client? (Select all that apply.)

Muscle cramps, Extreme fatigue

A nurse is caring for a client who is experiencing urinary incontinence. The client has an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder. This should be documented in the medical record as:

Overflow incontinence

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:

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

A client is to receive an intravenous (IV) antibiotic in 50 mL of 0.9% sodium chloride to be administered over 20 minutes. At what rate should the nurse set the infusion pump? Record your answer using a whole number. __________ mL/hr

An infusion device delivers a specific volume of fluid to be infused over the period of one hour; calculate the answer by using ratio and proportion: 50 mL x mL -------- = ------ 20 min 60 min 20x = 50 x 60 x = 3000 ÷ 20 x = 150 mL/hr

A client with end-stage renal disease is hospitalized. For what signs and symptoms of complications should the nurse monitor the client? (Select all that apply.)

Anemia, Dyspnea, Anasarca