renal hesi
which hormone is released in response to low serum calcium
PTH
A nurse is evaluating a client's understanding of peritoneal dialysis. Which information in the client's response indicates an understanding of the purpose of the procedure?
Peritoneal dialysis uses the peritoneum as a selectively permeable membrane for diffusion of toxins and wastes from the blood into the dialyzing solution. Peritoneal dialysis acts as a substitute for kidney function; it does not reestablish kidney function. The dialysate does not clean the peritoneal membrane; the semipermeable membrane allows toxins and wastes to pass into the dialysate within the abdominal cavity. Fluid in the abdominal cavity does not enter the intracellular compartment.
Which instruction should the nurse give a client who is on oral extended-release ciprofloxacin therapy for urinary tract infection?
Refrain from taking the tablet immediately after an antacid
Which instruction would be most beneficial for an aging African-American client with hypertension? annual urinalysis check pulse daily check bp weekly schedule eye dr. appointment
annual urinalysis
A client with a suspected kidney disorder reports flank pain. Which nursing interventions should be conducted while performing flank assessment? Select all that apply.
ask patient to get in sitting position and place flat hand on CVA
During the postoperative period after surgery for a kidney transplant, the client's creatinine level is 3.1 mg/dL (260 mcmol/L). What should the nurse do first in response to this laboratory result? Notify the primary healthcare provider. Obtain current blood test results. Assess for decreased urine output. Check the intravenous (IV) infusion.
assess decreased urine output The expected serum creatinine range is 0.7 to 1.4 mg /dL (62 to 124 mcmol/L). The nurse should obtain additional information that may indicate acute rejection; therefore, the nurse must first assess for decreased urine output and changes in vital signs. Once additional data are collected (e.g., urine output, current blood work reports) and the intravenous (IV) infusions are checked, the nurse should contact the primary healthcare provider, explain the situation, and implement further prescriptions. Eventually the nurse should ensure that proper infusion rates, along with IV medications, are being maintained after the client is first assessed for decreased urine output and for changes in vital signs. Current blood work reports should be obtained after the client is assessed for decreased urine output and changes in vital signs.
The nurse is assisting the primary healthcare provider while performing cervical dilation and curettage of a client. Which possible conditions are being treated in the client? Select all that apply. hernia heavy bleeding infertility rectal prolapse in to vaginal wall bladder proloapse in to vaginal wall
heavy bleeding and infertility
A client is experiencing kidney failure. Which is the most serious complication for which the nurse must monitor a client with kidney failure? anemia weight loss hyperkalemia uric frost
hyperkalemia lethal dysrhythmias
The nurse is reviewing a client's current medication therapy and suspects hematuria. Which medication is responsible for the client's condition?
Warfarin is an anticoagulant. Anticoagulants may cause hematuria, which is the presence of blood in the urine. Cimetidine is an antihistamine. Antihistamines affect the normal contraction and relaxation of the urinary bladder. Phenazopyridine and nitrofurantoin cause urine discoloration.
A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the client's medical record?
cystitis Cystitis is an inflammation of the bladder that causes frequency and urgency of urination, pain on micturition, and hematuria. Chronic glomerulonephritis is a disease of the kidney that is associated with manifestations of systemic circulatory overload. Nephrotic syndrome is a condition of increased glomerular permeability characterized by severe proteinuria. Pyelonephritis is a diffuse, pyogenic infection of the pelvis and parenchyma of the kidney that causes flank pain, chills, fever, and weakness.
