renal/immunity EAQ

For which client illness would airborne precautions be implemented?

chickenpox

A client's sputum smears for acid-fast bacilli (AFB) are positive and requires transmission-based airborne precautions. Which instruction would the nurse teach when orienting the client's visitors?

wear a particulate respiratory mask when in room

Which action would the nurse take before a client's scheduled hemodialysis treatment?

weigh the client to establish a baseline for later comparison

The nurse provides care for four clients with hypersensitivity reactions. Which client would the nurse suspect as having a type IV hypersensitive reaction?

Client D - erythema and edema after 24 hours

Which nursing intervention indicates misinformation when providing care for clients with the human immunodeficiency virus (HIV) infection?

I will ask the client to avoid involvement in the community

Which statement explains why metabolic acidosis develops with kidney failure?

Inability of the renal tubules to secrete hydrogen ions and conserve bicarbonate

Which physiological changes that occur with aging cause stress incontinence? Select all that apply. One, some, or all responses may be correct.

estrogen deficiency weakening of the urinary sphincter

Which laboratory value would the nurse assess when preparing a client for a renal biopsy? Select all that apply. One, some, or all responses may be correct.

hematocrit hemoglobin platelet count PT/INR PTT

Which clinical manifestation would the nurse expect to find when assessing a client who has acute glomerulonephritis?

periorbital edema

Arrange the order of donning personal protective equipment (PPE) while caring for a client with isolation precautions.

apply gown cover mask goggles gloves

A client receiving chemotherapy also takes a steroid daily. The client's white blood cell count is 3600 per cubic millimeter and red blood cell count is 4.5 million/mm 3. Which instruction would the nurse teach this client?

avoid large crowds and persons with infections

Which characteristic of urine changes in the presence of a urinary tract infection (UTI)?

clarity

Which finding indicates that a client's kidney transplant is successful?

decreasing serum creatinine

Which instruction would the nurse provide to a client receiving brachytherapy for prostate cancer to prevent injury?

refrain from close contact with others

Which assessment findings are associated with rejection of a kidney transplant? Select all that apply. One, some, or all responses may be correct.

fever oliguria weight gain

Which clinical indicators would the nurse expect for a client who has end-stage renal disease (ESRD)? Select all that apply. One, some, or all responses may be correct.

hypertension azotemia

When a client with acute myelocytic leukemia who is receiving chemotherapy develops tumor lysis syndrome, the nurse will anticipate a need to implement which collaborative action?

infuse large amounts of fluids

A client scheduled for a cystoscopy asks the nurse to describe the procedure. Which description would the nurse provide?

it is the visualization of the bladder lining with an instrument connected to a source of light

Which test result would the nurse anticipate in the laboratory reports of a client with a diagnosis of end-stage renal disease?

potassium of 6.3

The client's serum sodium is 123 mEq/L (123 mmol/L). Which prescription would the nurse question?

provide .45% NaCL

A client on antiretroviral therapy developed Pneumocystis jirovecipneumonia. Which nursing intervention is the priority for this client?

providing adequate oxygenation

Which dietary modifications help improve the nutritional status of a client with acquired immunodeficiency syndrome (AIDS)?

refraining from consuming fatty foods

A 20-year-old female client is scheduled to receive pelvic radiation for Hodgkin lymphoma and expresses anxiety about her future ability to conceive a child. The nurse's response will be based on which information about radiation therapy?

reproductive ability may be preserved through a variety of interventions

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. Which response would the nurse give?

increase your daily fluid consumption

Which instruction would the nurse provide to help a client prevent future attacks of glomerulonephritis?

seek early treatment for resp infections

Which laboratory result would the nurse review to determine if a prescribed antibiotic would be effective?

sensitivity test

A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy outcome would the nurse expect with this client?

shrinkage of tumor when scanned

According to the Centers for Disease Control and Prevention (CDC), which stage of the human immunodeficiency virus (HIV) disease is present in the client with a laboratory report revealing a CD4+ T-cell count of 520 cells/mm3?

stage one

Which infection would the nurse identify as requiring a client to be placed on droplet precautions?

the flu

When assessing a client during peritoneal dialysis, the nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. Which instruction would the nurse give to the client?

turn from side to side