renal 16

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Intrarenal causes of renal failure include

prolonged renal ischemia nephrotoxic agents infectious processes like acute glomerulonephritis.

in a pt who is s/p rneal transplant A decrease from the normal urine output of 30 ml/hour is significant and

warrants immediate physician notification.

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void.

Glomerulonephritis can occur as a result of infections from

A beta-hemolytic streptococcal infections bacterial endocarditis viral infections like hepatitis B or C or HIV

Which of the following is the most common type of prostate surgery?

TURP

Which of the following are age-related changes affecting the male reproductive system?

Plasma testosterone levels decrease

A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?

Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.

A nurse assesses a client shortly after living donor kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?

Urine output of 20 ml/hour

Changes in gonadal function include

a decline in plasma testosterone levels reduced production of progesterone testes become smaller and more firm.

Decreased RBC production diminishes

cellular oxygen, leading to fatigue and weakness.

A hx of pyelonephritis would increase the client's risk for

chronic pyelonephritis

A hx of hyperparathyroidism or osteoporosis would place the client at risk for

developing renal calculi

A client with chronic renal failure (CRF) has developed faulty red blood cell (RBC) production. The nurse should monitor this client for:

fatigue and weakness.

A nurse is reviewing the history of a client who is suspected of having glomerulonephritis. Which of the following would the nurse consider significant?

Recent history of streptococcal infection

Which of the following causes should the nurse suspect in a client is diagnosed with intrarenal failure?

Glomerulonephritis

The nurse is administering calcium acetate (PhosLo) to a patient with ESKD. When is the best time for the nurse to administer this medication?

administers phosphate binders with food for them to be effective

The nurse is reviewing a patient's laboratory results. What findings does the nurse assess that are consistent with acute glomerulonephritis? (Select all that apply.)

• Proteinuria • Red blood cells in the urine • White cell casts in the urine

The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following?

Light yellow and clear

The nurse performs a physical examination on a client diagnosed with acute pyelonephritis to assist in determining which of the following?

Location of discomfort

When assessing the impact of medications on the etiology of ARF, the nurse recognizes which of the following as the drug that is not nephrotoxic?

Penicillin


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