chapter 33-34 quiz

A nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which of the following questions to the mother would elicit information about the cause of this disease?

"Did your child recently complain of a sore throat?"

A client with new-onset renal failure is having a first hemodialysis treatment. The nurse is especially careful to monitor the client for which of the following on return from the dialysis treatment?

Headache, decreasing level of consciousness, and seizures

A nurse is told that a client will be admitted to the hospital for a radiation implant for bladder cancer. The nurse is asked to prepare for the admission of the client and plans which of the following as a priority measure for this client?

Admit the client to a private room.

A client has just undergone a renal biopsy. In planning care for this client, the nurse would avoid which intervention?

Ambulate in the room and hall for short distances (After renal biopsy, bed rest is maintained for at least 24 hours. )

A nurse has an order to collect a 24-hour urine specimen from a client. The nurse should avoid which of the following errors in technique while completing this procedure?

Ask the client to void, save the specimen, and note the start time.

What are changes that occur to the urinary system with aging?

Bladder capacity decreases.

A nurse has provided discharge instructions to the mother of an 18-month-old child following surgical repair of hypospadias. Which statement by the mother indicates a need for further instruction?

I should carry my child by straddling the child on my hip

A nurse is assisting a client who is new to a low-potassium diet to select food items from the menu. Which of the following food items is lowest in potassium and would be recommended to the client who is on this dietary restriction?

Lima beans

A nurse is preparing the client who is scheduled for an intravenous pyelogram (IVP). The nurse would take which most important action before the test?

Question about allergies to iodine or shellfish.

A client with acute glomerulonephritis is admitted to the nursing unit. The nurse should plan to do which of the following immediately on admission?

Remove the water pitcher from the bedside(Pt. already retaining fluid)

results are indicative of decreased kidney function

Serum BUN 24 mg/dL and creatinine 2.1 mg/dL Norms:BUN 10-20mg dl and creatinine 0.6-1.2mg/dl

A nurse is assisting in planning discharge instructions to the mother of a child following orchiopexy, which was performed on an outpatient basis. Which of the following is the priority in the plan of care?

Wound care

A female client has an order for a clean-catch urine culture. After providing a sterile specimen cup to the client, the nurse would give which instruction so that the specimen is collected properly?

Cleanse the labia using cleansing towels, begin to void into toilet, and then collect the specimen.

A nurse is providing information to the mother of a child with nephrotic syndrome regarding the edematous appearance of the child. Which of the following statements should the nurse make to the mother

"The fluid retention should be controlled by medication and diet."

A client has an arteriovenous (AV) shunt in place for hemodialysis. The nurse would take which of the following priority precautions, knowing that bleeding is a potential complication?

. Ensure that small clamps are attached to the AV shunt dressing.

A nurse is assisting in developing a plan of care for a 10-year-old child diagnosed with acute glomerulonephritis. Following review of the plan of care, the nurse determines that which of the following is the priority for the child?

...

A client is admitted to the surgical nursing unit following transurethral resection of the prostate (TURP) for benign prostatic hypertrophy.

Blood pressure of 102/50 mm Hg, pulse 110 beats per minute (A rapid pulse with a low blood pressure is a potential sign of excessive blood loss. )

A nurse caring for a child with nephrotic syndrome reviews the medication record. The nurse notes that prazosin hydrochloride (Minipress) is prescribed for the child. The nurse determines that this medication has been prescribed to:

Control hypertension

A nursing instructor is observing a nursing student caring for an infant with a diagnosis of bladder exstrophy. The nursing student provides appropriate care to the infant by:

Covering the bladder with a nonadhering plastic wrap

Encouraging patients to empty their bladder soon after feeling the urge rather than delaying emptying prevents:

Cancer of the bladder and incontinence