elimination eaq

A client is scheduled for a kidney ultrasound. Which instructions would be given by the nurse? Select all that apply. One, some, or all responses may be correct. "Drink plenty of fluids." "Eat foods rich in fiber." "Do not urinate before the examination." "Lie flat and perfectly still during the test." "A urinary catheter may be needed temporarily for the test."

"Drink plenty of fluids." "Do not urinate before the examination." "Lie flat and perfectly still during the test."

Which instruction would the nurse give to a client with renal calculi? Select all that apply. One, some, or all responses may be correct. "Drink plenty of water." "Have spinach soup every day." "Substitute lemon juice for tea." "Include high amounts of protein in the diet." "Consume foods rich in omega-3 fatty acids."

"Drink plenty of water." "Substitute lemon juice for tea."

Which statement indicates the nurse has a correct understanding of kidney ultrasonography? "Kidney ultrasonography primarily makes use of iodinated contrast dye." "Kidney ultrasonography is performed on the client with an empty bladder." "Kidney ultrasonography makes use of sound waves and has minimal risk." "Kidney ultrasonography provides three-dimensional information regarding kidneys."

"Kidney ultrasonography makes use of sound waves and has minimal risk."

Which statement made by the student nurse regarding the gross anatomy and physiology of the kidneys indicates the need for additional teaching? "The right kidney is a little longer and narrower than the left kidney." "The existence of three kidneys with normal kidney function is normal." "The presence of a single kidney with normal kidney function is normal." "The urinary bladder lies directly behind the pubic bone."

"The right kidney is a little longer and narrower than the left kidney." (its actually the opposite)

Which information provides the rationale for a nurse writing a goal of preventing renal calculi in a care plan for a client who has paraplegia? High fluid volume intake Increased calcium intake Inadequate kidney function Accelerated bone demineralization

Accelerated bone demineralization

Which order would the nurse identify as a priority nursing action after reviewing the prescriptions for the newly admitted emergency department client with urolithiasis? Strain the client's urine. Place the client in the high-Fowler position. Administer the prescribed morphine. Collect a urine specimen for culture and sensitivity.

Administer the prescribed morphine.

Which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of urination with a digital rectal examination report indicating smooth, firm, and enlarged prostate tissue surrounding the urethra? Prostatitis Paraphimosis Prostate cancer Benign prostatic hyperplasia (BPH)

BPH

what dx indicates kidney impairment

Elevated creatinine and BUN

Which information about benign prostatic hyperplasia (BPH) is important for the nurse to consider when caring for a client with that condition? It is a congenital abnormality. A malignancy usually results. It predisposes to hydronephrosis. Prostate-specific antigen decreases.

It predisposes to hydronephrosis.

Which type of urinary condition would cholinergic agonists be prescribed for? Kidney stones Urine retention Spastic bladder Urinary tract infections

Urine retention

Which is an abnormal finding of the urinary system? When palpating, the left kidney is unable to be felt. When auscultating, bowel sounds are present in the client. When palpating, the urinary bladder is unable to be felt. When striking the area, pain in the flank region is felt by the client

When striking the area, pain in the flank region is felt by the client

Which would the nurse plan to offer the parent of a child who was treated for acute glomerulonephritis in preparation for the discharge? a. Samples of no-salt-added diets for the child to continue at home b. Suggestions about activities to keep the child mobile for longer periods c. instructions about when the child should return for a workup for a kidney transplant d. Phone numbers to reach the nurse on the unit so the parent may call if there are any questions

a

Which finding would the nurse expect when assessing a child with acute poststreptococcal glomerulonephritis? Select all that apply. One, some, or all responses may be correct. Hematuria Proteinuria Periorbital edema Decreased specific gravity Mildly elevated blood pressure

a,b,c,e

Which statement made by the client identifies a regulatory function of the kidney? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected "Erythropoiesis." "Acid-base balance." "Vitamin D activation." "Blood pressure control." "Fluid and electrolyte balance."

b,e

Milk is an acceptable calcium-rich protein and is avoided with ________ stones, but not with __________ stones.

calcium ; oxolate (uric acid stones)

Which education would the nurse provide the parent of a preschool child with a spinal cord injury about foods to avoid during prolonged bed rest to prevent complications associated with immobility? Fish Fruit Beef Cheese

cheese (contains calium= contribute to formation of kidney stones)

A client arrives at a health clinic reporting a recent onset of hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse observe in the client's medical record? Chronic glomerulonephritis Nephrotic syndrome Pyelonephritis Cystitis

cystitis

Which description of pain would the nurse expect a client with a ureteral calculus to report? Boring-type pain that is located in the flank Dull and constant at the costovertebral angle Located at the level of the kidneys and occurring with each urination Spasmodic and radiating from the side to the suprapubic area

d

Which finding would the nurse expect a urinalysis to reveal on a child with actue glomerulonephritis? Polyuria Ketonuria Hematuria Bacteriuria

hematuria

Which food item would the nurse instruct a client whose pathology report states a urinary calculus is composed of uric acid to avoid? Milk Liver Cheese Vegetables

liver

food always avoided with uric acid renal calculi or gout.

liver

Which part of the nephron is the region affected in a client diagnosed with a pathology in the medulla of the kidney?

loop of Henle

Which part of the renal system does furosemide exerts its effects? Distal tubule Collecting duct Glomerulus of the nephron Loop of Henle

loop of henle

Which item would a nurse instruct a client with calcium oxalate kidney stones to limit the intake of when providing dietary teaching? Sodium Gravies Red wines Organ meat

sodium

Which foods would the nurse teach a client to avoid when diagnosed with calcium oxalate renal calculi? Select all that apply. One, some, or all responses may be correct. Milk Tea Liver Spinach Rhubarb

tea, spinach, rhubarb (high in calcium oxalate)

Which type of stone composition is suspected when the laboratory values of a client with renal calculi reveal a serum calcium within expected limits and an elevated serum purine? Cystine Uric acid Calcium oxalate Magnesium ammonium phosphate

uric acid

Which test result would confirm the diagnosis of benign prostatic hyperplasia (BPH)? Digital rectal examination Serum phosphatase level Biopsy of prostatic tissue Massage of prostatic fluid

Biopsy of prostatic tissue (definite dx=biopsy)