GU 2

20. A nurse irrigates a postoperative client's NG tube twice with 30 mL normal saline solution. At the end of the shift, the NG canister contains 475 mL. Record the amound of NG drainage.

415 mL

1. A nurse is preparing a client for a kidney biopsy. Which of the following should the nurse identify as a contraindication for this diagnostic test? -Active kidney infection -Current flank pain -Urinary retention -Bleeding tendencies

Bleeding tendencies

24. A nurse is calculating the output of an infant admitted with dehydration. When weighing the diaper, the nurse knows that 1g of wet diaper weight is equal to which of the following amounts of urine? -1 mL -5 mL -15 mL -30 mL

1 mL

23. A nurse completes the I&O record for a client who consumed breakfast and lunch as follows: Intake: 4 oz of clear soda 1 piece of toast 12 oz of water 1 cup of fruit-flavored gelatin -1/2 cup of chicken broth 300 mL of 0.9% sodium chloride IV Output: 460 mL of urine 90 mL of drainage from the suction drainage system What should the nurse document as the client's intake?

1140

31. A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels is an expected finding? -116 mEq/L -136 mEq/L -146 mEq/L -167 mEq/L

116 mEq/L

15. A client is dehydrated. Which of the following BUN lab values should the nurse report to the provider? -25 mg/dL -13 mg/dL -10 mg/dL -18 mg/dL

25 mg/dL

43. A nurse is implementing strict I&O on a client. The client's output for the past 12 hr includes the following: JP drain 35 mL NG suction 120 mL Incontinence pads weighing 240 g, 275 g, 310 g, and 270 g Incontinence pad dry weight 90g

890mL

17. A nurse is assisting in the plan of care for a client who has acute glomerulonephritis related to a streptococcal infection. Which of the following interventions is appropriate to recommend including in the plan of care? -Administer prescribed antibiotics -Encourage increased fluid intake -Obtain weekly weight -Encourage frequent ambulation

Administer prescribed antibiotics

28. A nurse is planning to teach a client who is scheduled for an IVP. Which of the following statements should he include in the teaching? -The procedure will be cancelled if the urinalysis indicates the presence of RBC -High frequency soundwaves will be used to identify renal system structures -You will be able to resume your regular diet as soon as the test is complete -After the procedure you will be encouraged to drink plenty of fluids

After the procedure you will be encouraged to drink plenty of fluids

39. A nurse is caring for a client who has BPH. Which of the following types of medications should the nurse plan to administer? -Anabolic steriod -Conjugated estrogen -Alpha-adrenergic blocker -Broad-spectrum antibiotic

Alpha-adrenergic blocker

32. A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider? -Hematuria -Edematous ankles -BP 162/90 mmHg -Urinary output of 310 mL during past 8hr

BP 162/90 mmHg

18. A nurse is caring for a client who has CRF. Which of the following lab reports is an expected finding? -BUN 10, creat 0.3 -BUN 45, creat 1.0 -BUN 11, creat 10 -BUN 35, creat 8

BUN 35, creat 8

7. A nurse is discussing the findings of a UTI with a newly licensed nurse. Which of the following should the nurse identify as a finding specifically associated with a UTI in the older adult client? -Urinary retention -Low back pain -Incontinence -Confusion

Confusion

44. A nurse is discussing UTI with a client. Which of the following should the nurse include as a risk factor? -COPD -DM -Anemia -Osteoporosis

DM

19. A nurse is reviewing the medical record of a client who has metabolic acidosis. Which of the following conditions contribute to the development of metabolic acidosis? -Diarrhea -Vomiting -Hyperventilation -Salicylate intoxication

Diarrhea

34. A nurse is caring for a client who has BPH. Which of the following is an expected finding? -Urge incontinence -Critically elevated PSA level -Difficulty starting the flow of urine -Painful urination

Difficulty starting the flow of urine

4. A nurse is planning care for a client who has urolithiasis. Which of the following is an appropriate nursing action? -Apply cold compress to the flank area -Restrict protein intake to 80 gm/day -Discourage ambulation -Encourage at least 2L fluids per day

Encourage at least 2L fluids per day

27. A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His BUN is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following interventions is appropriate? -Collect a urine specimen for C&S -Continue routine care because the results are within the expected reference range -Decrease the IV fluid infusion rate and limit oral fluid intake -Evaluate urine output for amount and urine for specific gravity

Evaluate urine output for amount and urine for specific gravity

48. A client has ARF and is receiving IV fluids to treat ARF. Which of the following findings should indicate to the nurse that a therapeutic affect is being achieved? -Serum Creatinine 2.0 mg/dL -USG 1.040 -BUN 35 mg/dL -GFR 125 mL/min

GFR 125 mL/min

2. A nurse is discussing renal transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment? -Having a BMI of 30 -Having a pace maker -Being 65 years old -Having a chronic infection

Having a chronic infection

49. A nurse is planning care for a client who has ESRD. On assessment, the cleint has a 20 lb weight gain, crackle lung sounds, elevated BP, and jugular neck vein distention. Which of the following explains the client's symptoms? -Hypovolemia -Hypervolemia -Hyperkalemia -Hyponatremia

Hypervolemia

47. The nurse is discharging a client from the hospital who has a new prescription for Lasix. Which of the following client statements indicates an understanding of this medication? -I should eat a diet low in potassium while taking this medicine -I should limit my fluid intake while taking this medication -My BP will increase when I take this medication -I need to limit my sun exposure and wear sunscreen while on this medication

I need to limit my sun exposure and wear sunscreen while on this medication

8. A nurse is teaching a client who has recurrent UTIs about prevention measures. Which of the following client statements indicates the need for further teaching? -I will need to wipe my perineal area from back to front after urination -I will need to empty my bladder regularly and completely -I will need to evacuate my bowels regularly -I will need to drink an adequate amount of liquid each day

I will need to wipe my perineal area from back to front after urination

29. A nurse is caring for a client in liver failure with ascites who is receiving Aldactone. Which of the following outcomes should the nurse expect from this client's medical therapy? -Increased sodium excretion -Decreased urinary output -Increase potassium excretion -Decreased chloride excretion

Increased sodium excretion

38. A nurse is implementing a bladder training program. Which of the following actions by the AP who is assisting in the client's care indicates a need for further instruction? -Assists the client to bathroom every 2 hr -Encourages oral fluid intake during waking hours -Instructs the client to void whenever the urge occurs -Offers the opportunity to void 15 min prior to bathing

Instructs the client to void whenever the urge occurs

36. A nurse on a medical unit is evaluating the 24-hr intake and output records for several clients, none of whom have fluid restrictions. Which of the following client findings indicates an acceptable intake and output? -Intake 2,500 mL, Output 500mL -Intake 2,400 mL, Output 2,500 mL -Intake 1,200 mL, Output 700 mL -Intake 800 mL, Output 2,100 mL

Intake 2,400 mL, Output 2,500 mL

41. A nurse is caring for a school-age child with acute glomerulonephritis who has peripheral edema and is producing 35 mL of urine per hour. The client should be placed on which of the following diets? -Low sodium, fluid-restricted -Regular diet, NAS -Low carbohydrate, low protein diet -Low protein, low potassium diet

Low sodium, fluid-restricted

12. A nurse is caring for a client who has CRF. When reinforcing teaching about foods to avoid that contain phosphorous he should recommend that the client avoid which of the following? (Select all that apply) -Milk -Nuts -OJ -Whole grain bread -Poultry

Milk, whole grain bread, poultry

37. A nurse is teaching a client who has CRF about limiting foods high in potassium in his diet. Which of the following should the nurse instruct the client to avoid? (Select all that apply) -OJ -Tomatoes -Bananas -Corn Flakes -Raisins

OJ Tomatoes Bananas Raisins

10. A nurse is assisting in the planning of care for a client who is scheduled to have a renal biopsy. Which of the following should the nurse recommend to include? (Select all that apply) -Obtain a urine specimen prior to the procedure -Obtain written, informed consent -Administer Benadryl prior to the procedure -Maintain NPO status prior to the procedure -Obtain coagulation studies

Obtain a urine specimen prior to the procedure Obtain written, informed consent Maintain NPO status prior to the procedure Obtain coagulation studies

16. A nurse is assessing a client who has a urine output of 250 mL in a 24 hr period. Which of the following terms should the nurse include in the documentation on the electronic record? -Dysuria -Anuria -Nocturia -Oliguria

Oliguria

13. A nurse is discussing the phases of acute kidney injury with a client. The nurse should identify that the phases occur in which order? -Diuretic -Onset -Oliguric -Recovery

Onset Oliguric Diuretic Recovery

14. A client has not voided for 8 hr following the removal of an indwelling bladder catheter. Which of the following should be the nurse's priority actions? -Increase fluids -Perform bladder scan -Place indwelling catheter -Provide assistance to bathroom

Perform bladder scan

5. A nurse is preparing a sterile field for insertion of a urinary catheter. Identify the sequence the nurse should follow. -Open innermost flap toward body -Perform hand hygiene -Use inner surface of package as sterile field -Open side flank, pulling to side -Place package on work surface -Open outermost flap away from body

Perform hand hygiene Place package on work surface Open outermost flap Open side flap Open innermost flap Use inner surface of package as sterile field

9. A nurse is caring for a 2 year old child hospitalized with vomiting and possible dehydration. Which of the following findings should concern the nurse? -Blood glucose 110 mg/dL -Potassium 2.5 mEq/L -Weight loss 100 g -USG 1.025

Potassium 2.5 mEq/L

3. A nurse is caring for a client who has heart failure and is prescribed furosemide (Lasix). For which of the following findings should the nurse withhold the medication? -Weight gain -Increased BP -Hematocrit of 33.4% -Potassium 2.8

Potassium 2.8

30. A nurse is caring for a client diagnosed with chronic glomerulonephritis. The nurse would expect to find a decrease in which of the following lab values? -Potassium -Phosphate -Creatinine -RBC

RBC

6. A nurse is caring for a client who had a kidney transplant. For which of the following complications is the client at great risk? -Infection -Hematoma -Rejection -Hypertensive crisis

Rejection

33. A nurse is discussing indication for the use of urinary catheterization with a newly licensed nurse. Which of the following should the nurse identify as an appropriate indication? (Select all that apply) -Relief of urinary retention -Convenience for the nursing staff or client's family -Measurement of residual urine after urination -Routine acquisition of a urine specimen -Presence of an open perineal wound

Relief of urinary retention Measurement of residual urine after urination Presence of an open perineal wound

42. A nurse is reviewing laboratory findings for a client who has acute renal failure. Which of the following is an expected lab finding for this client? -BUN 8 mg/dL -Serum creatinine 6 mg/dL -Hemoglobin 19 g/dL -Serum potassium 3.0 mEz/L

Serum creatinine 6 mg/dL

40. A nurse is reviewing the lab report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer? -Lactulose (Cephulac) -Sevelamer (Renagel) -Sodium polystyrene (Kayexalate) -Darbopoetin alfa (ARANESP)

Sodium polystyrene (Kayexalate)

25. A nurse removes an indwelling catheter that an older adult client has had in place for 2 days. The nurse should monitor the client for the expected outcome of -Temporary urinary retentions -Urinary frequency for several days -Blood-tinged urine -Highly concentrated urine

Temporary urinary retentions

50. A nurse is caring for a 3 year old child admitted with acute diarrhea and dehydration. Which of the following client findings indicates that oral rehydration therapy has been effective? -Heart rate 130/min -Respiratory rate 24/min -USG 1.015 -Cap refill greater than 3 seconds

USG 1.015

46. A nurse is obtaining a urine specimen for C&S via a straight catheterization. Which of the following actions should the nurse incorporate? -Collect urine from the catheter port -Use a sterile specimen container -Ensure only sterile water is used to inflate the balloon -Instruct the client to clean from front to back with an antiseptic solution

Use a sterile specimen container

11. A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following treatments should the nurse include in the teaching? (Select all that apply) -Use of anticholinergic medications -Limiting fluids in the evening -Dietary restriction of caffeine -Intermittent urinary catheterization -Anterior vaginal repair

Use of anticholinergic medications Limiting fluids in the evening Dietary restriction of caffeine

22. A nurse is talking with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider? -Yellow nasal discharge -Facial edema -Poor appetite -Irritability

Yellow nasal discharge

45. A nurse is caring for a client who has CRF. Which of the following is an expected lab finding? -Hypokalemia -Decreased USG -Decreased BUN -Elevated Creatinine

elevated creatinine

35. A nurse is caring for a client who has been prescribed a potassium wasting diuretic medication. Which recommendation should the nurse make for change in the diet? -Increase consumption of citrus fruits and strawberries -Decrease amount of fluids containing caffeine -Avoid milk and milk products -Encourage oranges, bananas, and whole grain breads

encourage oranges, bananas and whole grain breads

26. A nurse is caring for a client who has CRF. Which of the following indicates that the client is experiencing metabolic acidosis from this disorder? -pH 7.25, HCO3 19, PaCO2 30 -pH 7.30, HCO3 26, PaCO2 50 -pH7.50, HCO3 20, PaCO2 32 -pH7.55, HCO3 30, PaCO2 31

pH 7.25, HCO3 19, PaCO2 30

21. A nurse is caring for a client who has acute renal failure. Which of the following ABG values would the nurse expect this client to have? -pH 7.49, HCO3 24, PaCO2 30 -pH 7.49, HCO3 28, PaCO2 46 -pH 7.26, HCO3 24, PaCO2 46 -pH 7.26, HCO3 14, PaCO2 30

pH 7.26, HCO3 14, PaCO2 30