Med surg Renal and urine

A nurse is reinforcing dietary teaching with a client who has a history of kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3.8 L (4 quarts) of water throughout the day.

The nurse is calculating a client's intake. Which of the following will the nurse include? Select all that apply.

Drinking water. Intravenous fluids. Tube feeding. Nasogastric tube irrigation. NGT

A nurse is caring for a client who has a manifestation of acute tubular necrosis following a kidney transplantation. Which of the following interventions should the nurse anticipate for this client?

Hemodialysis. Biopsy. Immunosuppression.

A nurse is contributing to the plan of care for a client who had a stroke. The client is hemiplegia and occasional urinary incontinence. Which of the following interventions should the nurse recommend?

Offer the client a bedpan every 2 hours.

A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following actions should the nurse take?

Report viscous drainage with clots to the provider.

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Respiratory distress.

A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate. After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider?

Decrease urine output.

A nurse is collecting data from a client who has an injury to the lower abdomen following a motor-vehicle crash. The nurse should identify that which of the following findings is a manifestation of bladder trauma?

Hematuria

What is normal urine output in a 24-hour period?

1000 to 2000 mL

The nurse is calculating intake for a client who has received 2 liters of 0.9% normal saline, two juices at 120 mL each, and an intravenous (IV) antibiotic with a volume of 100 mL. What is the client's total intake? Enter the numeral only.

2340

The nurse is caring for a client with kidney injury. Which of the following medications may have contributed to this diagnosis?

Acetaminophen (Tylenol)

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make?

Avoid taking blood pressures on the client's left arm.

A nurse is reinforcing teaching about urinary tract infections with a client. Which of the following manifestations should the nurse include?

Back pain.

A nurse is collecting data from a client who is 1 week postoperative following a living donor kidney transplant. Which of the following findings should indicate to the nurse that the client is experiencing acute kidney rejection?

Blood pressure 160/90. Due to the kidney's role in fluid and blood pressure regulation, a client who is experiencing rejection can have hypertension.

A nurse is collecting data on a client who is 4 hour postoperative following a transurethral resection of the prostate that has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?

Blood tinged urine in the drainage bag.

A nurse is reinforcing dietary teaching with a client who has late stage chronic kidney disease. Which of the following nutrients should the nurse instruct the client to increase in her diet?

Calcium

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the dialysate output is less that the input and that the client's abdomen is distended. Which of the following actions should the nurse take?

Change the client's position.

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the clients electrolyte values.

A nurse is assisting with planning care for a client who had a nephrostomy tube inserted 8 hr ago. Which of the following actions should the nurse include in the client's plan of care?

Check the skin at the nephrostomy site for irritation from urine leakage.

A nurse is collecting data from a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report to the provider immediately?

Cloudy effluent.

A nurse is collecting data from a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider?

Cloudy, yellow drainage.

The nurse is caring for a client with glomerulonephritis. The nurse can expect the urine to look like which of the following?

Cola-colored

A nurse is reinforcing teaching with a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include in the teaching?

Consume 1,000 milligrams of dietary calcium daily.

The nurse is caring for a client with fluid accumulation as a result of kidney disease. Which clinical manifestation can the nurse expect to find?

Edema

A nurse is reinforcing teaching with a client prior to a cystoscopy. Which of the following statements should the nurse make?

Expect to have pink-tinged urine after this procedure.

The nurse has an order for a urine specimen. When should the nurse collect the sample for the most accurate result?

First thing in the morning

A nurse is reinforcing dietary teaching with a client who has chronic renal failure. Which of the following food choices by the client indicates the teaching has been understood?

Grilled fish

A nurse is caring for a client who has chronic glomerulonephritis with oliguria. For which of the following electrolyte imbalances should the nurse monitor?

Hyperkalemia

A nurse is reviewing the laboratory findings of a client who has chronic kidney disease. The client reports significant, persistent nausea and muscle weakness. Which of the following findings should the nurse expect?

Hyperkalemia

A nurse is reviewing the laboratory report of a client who has chronic kidney disease. The nurse notes the following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the following findings is the priority for the nurse to report to the provider?

Hyperkalemia

The nurse is teaching a client about Kegel exercises. Which statement made by the client indicates a need for further teaching?

I need to perform these Kegel exercises with a full bladder.

A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following statements should the nurse provide teaching reinforcement?

I prefer tub baths to showering.

A nurse is reinforcing teaching with a client who is preoperative prior to a transurethral resection of the prostate. Which of the following client statements indicates an understanding of the information?

I will feel the urge to urinate following this procedure.

A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?

I will perform intermittent self-catheterization every 2-3 hours.

A nurse is reinforcing teaching with a client who has a history of urinary tract infections. Which of the following client statements indicates the need for additional instructions?

I will use a vaginal douche daily.

The nurse is caring for a client who underwent a placement of an arteriovenous (AV) graft yesterday. Which of the following would warrant notification of the health-care provider (HCP)?

Inability to feel the thrill

A nurse is assisting with the preparations of an in-service program about the stages of acute kidney injury. Which of the following pieces information should the nurse suggest about prerenal azotemia?

Interference with renal perfusion causes prerenal azotemia.

The nurse is caring for a client who has a 3500 mL/day urine output. Which of the following likely affected the volume of urine output?

Intravenous (IV) fluids

A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation. The nurse notes no drainage in the client's urinary drainage bag over 1 hour. Which of the following actions should the nurse take?

Irrigation the indwelling urinary catheter with a syringe.

A nurse is reinforcing teaching with a client who has chronic kidney disease. Which of the following instructions should the nurse include?

Limit fluid intake to prevent hypervolemia- excessive fluid overload.

A nurse is collecting data from a client who has acute kidney injury. According to the RIFLE classification system, which of the following findings should the nurse identify as an indication that the client has end stage kidney disease?

No urine output without renal replacement therapy for more than 3 months.

A client undergoing peritoneal dialysis reports severe abdominal pain. Which action should the nurse take?

Notify the health-care provider (HCP).

The nurse is caring for a client with cystitis. Which of the following clinical manifestations can the nurse expect to find?

Pelvic Pain.

A nurse is reinforcing teaching about collecting a 24-hour urine specimen for creatinine clearance with a newly licensed nurse. Which of the following instructions should the nurse include?

Place signs in the bathroom as a reminder about the test in progress.

A nurse is checking the laboratory values of a client who has chronic kidney disease. The nurse should expect elevations in which of the following values?

Potassium and magnesium.

Which of the following describe the function of the kidneys? Select all that apply.

Regulation of blood pressure. Regulation of acid-base balance. Production of erythropoietin.

A nurse is caring for a client who has a diagnosis of renal calculi and reports sever flank pain. Which of the following is the priority nursing action?

Relieve the client's pain.

A nurse is collecting data from a client who is postoperative following extracorporeal shockwave lithotripsy. The nurse should identify that which of the following findings is the priority ?

Report of palpitations.

A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client ask how to prevent future uric acid stones. Which of the following suggestions should the nurse provide?

Take allopurinol as prescribed. Exercise several times a week. Limit intake of foods high in purine.

The nurse is reviewing orders for a client with end-stage kidney disease. Which medication should the nurse question?

Trimethoprim-sulfamethoxazole (Bactrim)

A nurse is collecting data from a client who had urolithiasis and reports pain in his thigh. The nurse should identify that this finding indicates the stone is in which of the following structures?

Ureter

The nurse is caring for a client with suspected urinary retention. Which gold standard should the nurse expect to be ordered for confirmation?

Urinary catheterization

A nurse is caring for client who has just returned from the surgical suite following a right nephrectomy. Which of the following indicates that the client is meeting a successful short- term goal following this procedure?

Urinary output is 35-50 ml/hr consistently.

A nurse is preparing a client who is scheduled for an intravenous pyelogram (IVP). Which of the following findings should the nurse report to the provider?

Vomiting and diarrhea for the last 6 hours.

A nurse is caring for a client who is scheduled to receive intermittent peritoneal dialysis. Which of the following actions should the nurse take?

Weigh the client before and after each dialysis treatment.

A nurse is reinforcing teaching with a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?

Wipe from front the back after defecation.

A nurse in reinforcing teaching about a prostate-specific antigen (PSA) test with a client. Which of the following statements should the nurse make?

You do not need to fast prior to the PSA test.

A nurse is reinforcing teaching with a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?

You should complete the entire cycle of antibiotic therapy.

A nurse is reinforcing teaching with a client prior to a renal biopsy. Which of the following statements should the nurse make?

You will need to be on bed rest following the procedure.