Renal Urinary
A client has been admitted for urinary tract, infection and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen level drops to which value.
15 mg/dL
A sulfonamide is prescribed for a client with a urinary tract infection. During review of the client's record. The nurse notes that the client is taking warfarin sodium daily which prescription with the nurse anticipate for this client.?
A decrease in the warfarin sodium dosage
Phenazopyridine hydrochloride is prescribed for a client for a symptomatic relief of pain resulting from a lower urinary tract infection, which with the nurse reinforce to the client?
A reddish orange discoloration of the urine may occur
A post cardiac surgery client with a blood urea nitrogen(BUN) level of 45mg/dL and a serum creatinine of 2.2mg/dL has a total 2-hr urine output of 25mL. The nurse understands that the client is at risk for which condition?
Acute kidney injury
The nurse is caring for a client with kidney failure. The serum phosphate level is reported at 7 mg which medication with the nurse plan to administer as prescribed to the client.
Aluminum hydroxide gel
A client with chronic kidney disease has been on dialysis for three years. The client is receiving the usual combination of medication's for the disease, including aluminum hydroxide is a phosphate bonding agent. The client now has mental cloudiness, dementia, and complaints of all of pain, which does the data indicate?
Aluminum intoxication
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse would take which action?
Check the level of drainage bag, reposition the client to his or her side, place the client in good body alignment, check the Peritoneal dialysis for kinks
The nurse is monitoring an older client suspected of having a urinary tract infection for signs of infection, which sign symptom is likely to present first
Confusion
A client with chronic kidney disease is receiving ferrous sulfate. The nurse will monitor the client for which common side effect associated with this medication.
Constipation
A client has epididymitis as a complication of a urinary tract infection. The nurse is giving the client instructions to prevent recurrence. The nurse determines that the client needs further teaching if the client states the intention to do which action
Continue to take antibiotics until all symptoms are gone
A nurse is reviewing the medical record of a client with diagnosis of pyelonephritis which disorder noted on the clients record with the nurse identify as a risk factor for this diagnosis
Diabetes mellitus
A male client has a tentative diagnosis of urethritis. The nurse collects data from the client knowing that which are signs/symptoms of this disorder
Dysuria and penile discharge
A male client has a tentative diagnosis of urethritis. The nurse would assess the client for which manifestation of the disorder?
Dysuria and penile discharge
The nurse is reviewing the clients record and notes that the primary healthcare provider has documented that the client has a renal disorder which laboratory results would indicate a decrease in renal function
Elevated serum creatinine level, decreased red blood cell count, elevated blood urea nitrogen levels
A client with neurological impairment experiences urinary incontinence which nursing action would help the client adapt to this alteration
Establishing a toileting schedule
A client newly diagnosed with chronic kidney disease will be receiving peritoneal dialysis. During the infusion of the dialysate, the client complains of abdominal pain which action by the nurse is appropriate?
Explained that the pain will subside after the first few exchanges
A client with chronic kidney disease is receiving Epoetin alpha. Which laboratory results would indicate a therapeutic effect of the medication?
Hematocrit of 33%
The nurse provides home care instructions to a client undergoing hemodialysis with regard to care of arteriovenous fistula, which statement by the client indicates an understanding of the instructions
I should've checked official every day by filling it for a vibration
The nurse is told by an older women that she has begun to be incontinent of urine at night and now drinks no fluids at 6 PM which is the nurses best response
Incontinence at any age should be evaluated by your primary healthcare provider
The nurse is caring for a client with kidney failure. The laboratory results reveal in magnesium level of 3.6mEq/L. Which sign with the nurse expect to note in the client based on this magnesium level?
Loss of deep tendon reflexes
The nurse is reinforcing discharge instructions to a client receiving sulfadiazine, which would be included in the list of instructions
Maintain a high fluid intake.
The nurse is encouraging an older client who has difficulties with encourage to participate in recreational therapy, which nursing intervention with the nurse consider performing before assisting a client to go to the recreational therapy session
Make sure the client is wearing a clean undergarment, Encourage the client to use the restroom just before the activity.
A client hospitalized with urolithiasis has a certain significant decrease in urine output. The nurse will perform which action?
Notify the registered nurse
The nurse is caring for a client undergoing peritoneal dialysis the nurse six the client and noticed that the drainage from the outflow catheter is cloudy. The nurse notifies the register nurse, and plans to take which action.
Obtain a culture and sensitivity of the drainage
A client with chronic kidney disease is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. When would the nurse plan to administer this medication?
On return from dialysis
A hemodialysis client with the left or fistula is at risk for arterial still syndrome. The nurse monitors this client for which signs symptoms of this disorder.
Pallor diminished, pulse and pain in the left hand
The nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic kidney disease. Which finding indicates that the fistula is patent?
Palpitation of a thrill over the fistula
The nurse is assisting to plan a day for a client with acute kidney injury the nurse plan to restrict which dietary component from the client diet
Potassium
The nurse is caring for a client with kidney failure. The nurse is told that the blood gas results indicate a pH of 7430 and HCA 03 of 20 MM, Hg, and that the client is experiencing metabolic acidosis. The nurse reveals the laboratory results in files which value to be of concern?
Potassium level 5.6 mEq/L
The nurse prepares to administer a sodium Polystyrene sulfonate to a client with chronic kidney disease for which laboratory abnormality
Potassium level of 7.2 mEq/L
The nurse is reinforcing instructions to a client about the types of fluids that assist and prevention and treatment of urinary tract infection as the nurse instruct the client to consume which fluids
Prune juice, apple juice, cranberry juice
The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that a lawyer has prepared a Living will and will be visiting the client today so that they will can be review. The client also tells the nurse that the lawyer has asked for a witness to sign the wheel and request at the nurse act as a witness, which is the most appropriate nursing response to the client.
A nurse, caring for a client cannot serve as a witness to a living will
An alkaline ass day is prescribed for a client with renal calculi which diet menu does the nurse advise the client to select
A spinach, salad, milk, and a banana
The nurse who is caring for a client with kidney failure, notes that the client is dyspneic and crackles are heard when listening to breath sounds in the lungs which additional signs/symptom would the nurse expect to note in this client?
An increase in blood pressure
