Urinary

A nurse is caring for a client who is being treated with continuous ambulatory peritoneal dialysis (CAPD) for chronic glomerulonephritis. What dietary need should the nurse discuss with the client? 1 Low-calorie foods 2.High-quality protein 3.Increased fluid intake 4.Foods rich in potassium

2.High-quality protein

When a client returns from the postanesthesia care unit after a kidney transplant, the nurse should plan to measure the client's urinary output every: 1.15 minutes 2.One hour 3.Two hours 4.Three hours

2.One hour

A nurse is caring for a client who has a radium implant for cancer of the cervix. What is the priority nursing intervention? 1.Store urine in lead-lined containers. 2.Restrict visitors to a 10-minute stay. 3.Wear a lead-lined apron when giving care. 4.Avoid giving injections in the gluteal muscle

2.Restrict visitors to a 10-minute stay.

When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do? 1.Drink a glass of water 2.Turn from side to side 3.Deep breathe and cough 4.Rotate the catheter periodically

2.Turn from side to side

The laboratory values of a client with renal calculi reveal a serum calcium within expected limits and an elevated serum purine. The nurse concludes that the stone probably is composed of: 1.Cystine 2.Uric acid 3.Calcium oxalate 4.Magnesium ammonium phosphate

2.Uric acid

A client with a history of benign prostatic hypertrophy asks whether cranberry juice prevents bladder infections. The nurse replies that cranberry juice may be helpful because it: 1.Increases acidity of the urine 2.Soothes irritated bladder walls 3.Improves glomerular filtration rate 4.Destroys microorganisms in the bladder

1.Increases acidity of the urine

A nurse is caring for a client who had a nephrectomy because of cancer of the kidney. Which factor will influence the client's ability to deep breathe and cough postoperatively? 1.Location of the surgical incision 2.Increased anxiety about the prognosis 3.Inflammatory process associated with surgery 4.Pulmonary congestion from preoperative medications

1.Location of the surgical incision

After a nephrectomy a client arrives in the post-anesthesia care unit in the supine position. Which action should be employed by the nurse to assess the client for signs of hemorrhage? 1.Turn the client to observe the dressings. 2.Press the client's nail beds to assess capillary refill. 3.Observe the client for hemoptysis when suctioning. 4.Monitor the client's blood pressure for a rapid increase

1.Turn the client to observe the dressings.

An older adult client is demonstrating mild confusion after surgical repair of a hernia. What should the nurse do to provide for this client's safety? 1.Use a nightlight in the client's room. 2.Secure a prescription for a soft vest restraint. 3.Activate the position-sensitive bed alarm. 4.Raise the four side rails on the client's bed

3.Activate the position-sensitive bed alarm.

A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result confirmed the diagnosis? 1.Rectal examination 2.Serum phosphatase level 3.Biopsy of prostatic tissue 4.Pap smear of prostatic fluid

3.Biopsy of prostatic tissue

Before a client with syphilis can be treated, what should be determined? 1.Portal of entry 2.Size of chancre 3.Existence of allergies 4.Names of sexual contacts

3.Existence of allergies

A client with uremic syndrome has the potential to develop many complications. Which complication should the nurse anticipate? 1.Hypotension 2.Hypokalemia 3.Flapping hand tremors 4.Elevated hematocrit values

3.Flapping hand tremors

The nurse is caring for a client with a diagnosis of acute kidney failure associated with drug toxicity. When the client complains of thirst, the nurse should offer: 1.Ice chips 2.Warm milk 3.Hard candy 4.Carbonated soda

3.Hard candy

A nurse is caring for a client receiving hemodialysis for chronic kidney disease. The nurse should monitor the client for what complication? 1.Peritonitis 2.Renal calculi 3.Hepatitis B 4.Bladder infection

3.Hepatitis B

A client who is to begin continuous ambulatory peritoneal dialysis (CAPD) asks the nurse what this treatment entails. What information should the nurse include in the explanation? 1.Peritoneal dialysis is done in an ambulatory care clinic. 2.Hemodialysis and peritoneal dialysis are provided continuously. 3.The peritoneal membrane allows passage of toxins into the dialysate. 4.A quarter of a liter of dialysate is maintained inter- and intraperitoneally.

3.The peritoneal membrane allows passage of toxins into the dialysate.

A client comes to the emergency department because of minimal urinary output despite drinking adequate fluid. The client's blood pressure is 190/94. For what additional clinical manifestation associated with this data, should the nurse assess the client? 1.Thirst 2.Urinary retention 3.Weight gain 4.Urinary hesitancy

3.Weight gain

A client with chronic kidney disease is admitted to the hospital with severe infection and anemia. The client is depressed and irritable. The client's spouse asks the nurse about the anticipated plan of care. What is an appropriate nursing response? 1."The staff will provide total care because the infection causes severe fatigue." 2."Mood elevators will be prescribed to improve depression and irritability." 3."Iron will be prescribed for the anemia and the stools will be dark." 4."The intake of meat, eggs, and cheese will be restricted so the kidneys can clear the body of waste products."

4."The intake of meat, eggs, and cheese will be restricted so the kidneys can clear the body of waste products."

Which nursing action can best prevent infection from a urinary retention catheter? 1.Cleansing the perineum 2.Encouraging adequate fluids 3.Irrigating the catheter once daily 4.Cleansing around the meatus routinely

4.Cleansing around the meatus routinely

The nurse assesses a male client with a preliminary diagnosis of cancer of the urinary bladder. The nurse recalls that which sign or symptom is a common early sign of cancer of the urinary system: 1.Dysuria 2.Retention 3.Hesitancy 4.Hematuria

4.Hematuria

The nurse providing postoperative care for a client who had kidney surgery reviews the client's urinalysis results. The nurse concludes that the presence of what substance in the urine needs to be reported to the health care provider? 1.Sodium 2.Potassium 3.Urea nitrogen 4.Large proteins

4.Large proteins

A health care provider prescribes furosemide (Lasix) for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system? 1.Distal tubule 2.Collecting duct 3.Glomerulus of the nephron 4.Loop of Henle

4.Loop of Henle

A male client reports dysuria, nocturia, and difficulty starting the urinary stream. A cystoscopy and biopsy of the prostate gland have been scheduled. After the procedure the client reports an inability to void. The nurse should: 1.Limit oral fluids until the client voids 2.Assure the client that this is expected 3.Insert a urinary retention catheter 4.Palpate above the pubic symphysis

4.Palpate above the pubic symphysis

A nurse is caring for a client with glomerulonephritis. What should the nurse instruct the client to do to prevent recurrent attacks? 1.Take showers instead of tub baths. 2.Continue the same restrictions on fluid intake. 3.Avoid situations that involve physical activity. 4.Seek early treatment for respiratory tract infections

4.Seek early treatment for respiratory tract infections