114 Renal PrepU Quiz

Which of the following would the nurse classify as a prerenal cause of ARF?

Septic shock

Patient education regarding a fistula or graft includes which of the following? Select all that apply

-No tight clothing -No IV or BP taken on extremity with dialysis access -Avoid compression of the site -Check daily for thrill and bruit

The nurse is performing a renal assessment on a client with prostate cancer. Which clinical manifestation suggests prostate cancer? Select all that apply

-Nocturia -Hesitancy

A client develops ARF after receiving IV therapy with a nephrotoxic antibiotic. Because the client's 24 hour urine output totals 240 mL, the nurse suspects that the client is at risk for:

Cardiac arrhythmia

The nurse is educating a patient who will be performing self-catheterization at home. What information provided by the nurse will help reduce the incidence of infection?

Clean the catheter with antibacterial soap, thoroughly rinse and dry before reinsertion.

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

Collect the client's urine for 24 hours

Which phase of ARF signals that the GFR has started to recover?

Diuretic

As renal failure progresses and the GFR falls, which of the following changes occur?

Hyperphosphatemia

Which risk factors predispose a client to the development of kidney stones?

Immobilization

What is a hallmark of the diagnosis of nephrotic syndrome?

Proteinuria

A client with CRF is receiving a hemodialysis treatment. After hemodialysis, the nurse knows the client is most likely to experience:

Weight loss

A creatinine level has been ordered. The nurse prepares to:

Obtain a blood specimen

Which statement should be included in the teaching plan for a client prescribed sildenafil?

Only one tablet of the prescribed dose should be taken each day

A client undergoes renal angiography. The nurse prepares the client for the test and provides postprocedural care. Which intervention should the nurse provide to the client after renal angiography?

Palpate the pulses in the legs and feet

A client is diagnosed with polycystic kidney disease and requires teaching on the management of the disorder. Which statement by the client indicates a need for further teaching?

"As long as I have one normal kidney, I should be fine."

The nurse is giving discharge instructions to the client with uric acid renal calculi. Which statement by the client indicates the client understands the prescribed diet?

"I should limit my intake of meat and fish."

Which nursing intervention can help the client prevent urinary incontinence? Select all that apply

-Instruct the client how to perform Kegel exercises -Remind the client to empty the bladder every 2 to 3 hours

A client diagnosed with AKI has developed congestive heart failure. The client has received 40 mg IVP Lasix and 2 hours later, the nurse notes that there are 50 mL of urine in the foley catheter bag. The client's vital signs are stable. Which health care order can the nurse anticipate?

Lasix 80 mg IVP

The nurse is assisting with the preopertive planning for stoma placement in a client scheduled for urinary diversion surgery. Where should the nurse plan for the stoma to be located?

Away from skin folds

An expected outcome for the hemodialysis client is:

The client explains how to assess the venous access site