N202 Renal Jeopardy

A 15yo is admitted to the renal unit with diagnosis of post-infectious glomerular disease. The nurse should recognize that this form of kidney disease may have been precipitated by what event? a. menarche b. hypersensitivity to an immunization c. psychosocial stress d. streptococcal infection

d. streptococcal infection

List the nursing interventions to prevent kidney stones.

increase fluids (2-4L/day) low protein diet low sodium diet low oxalate diet low purine diet low phosphorus diet keep urine alkaline for uric acid and cysteine related stones avoid calcium supplements for calcium related stones

List the port-op nursing interventions for a radical prostectomy.

monitor for: -bleeding -infection -UOP -hematuria CBI manage pain encourage ambulation

A 45yo man with diabetic neuropathy has ESKG and is starting dialysis. What should the nurse teach the patient about HD? a."Hemodialysis is a treatment option that is usually required three times a week." b. "This will require you to have surgery and a catheter will need to be inserted into your abdomen." c. "Hemodialysis is a treatment that is used for a few months until your kidney heals and starts to produce urine again." d. "Hemodialysis is a program that will require you to commit to daily treatment."

a. "Hemodialysis is a treatment option that is usually required three times a week."

A client is receiving peritoneal dialysis. The RN Notes that the client is having difficulty with outflow. Which of the following priority interventions should the nurse perform? SATA a. assess the clients abdomen b. check the system for kinks and level of drainage bag c. reposition the client to his or her side d. assess clients VS and LOC e. administer antianxiety meds

a. assess the clients abdomen b. check the system for kinks and level of drainage bag c. reposition the client to his or her side d. assess clients VC and LOC

Diet modifications are part of nutritional therapy for the management of ARF. Select the high-potassium food that should be restricted. a. citrus fruits b. white rice c. salad oils d. butter

a. citrus fruits

A nurse receives her client care assignment. Following report, she should assess which of the following clients first? a. client who is recently diagnosed with AKI having frequent seizures b. client who has ESRD and awaiting to go to HD c. client who has T2DM admitted with BG of 250 d. client who is experiencing mild pain from kidney stones.

a. client who is recently diagnosed with AKI having frequent seizures.

An RN and CNA are caring for a group of patients. Which clients care may safely be delegated to the CNA? a. client with CKD needs VS and BG check every 2 hrs b. client who just came back from a renal angiography and needs frequent neurovascular checks with VS checks c. client who has a suprapubic catheter and has MD orders to change it out. d. client who needs teaching on 24-hr urine collection

a. client with CKD needs VS and BG checks every 2 hrs

A client with a history of CRF receives HD treatments three times a week through an AV fistula in the left arm. Which interventions should the nurse include in the care plan? a. do not check BP or perform peripheral sticks in the left arm b. client can not wear long-sleeve t-shirt c. keep AV fistula site moist and covered d. assess the AV fistula for a bruit and thrill

a. do not check BP or perform peripheral sticks in left arm d. assess AV fistula site for bruit and thrill

A patient admitted with nephrotic syndrome is being cared for on the medical unit. When writing this patients care plan, based on the major clinical manifestation of nephrotic syndrome, what nursing diagnosis should the nurse include? a. excess fluid volume related to generalized edema b. hyperthermia related to the inflammatory process c. risk for injury related to altered thought process d. constipated related to immobility

a. excess fluid volume related to generalized edema

Which of the following is a side effect of prednisone? a. hyperglycemia b. ED c. hypotension d. hyperkalemia

a. hyperglycemia

Anticholinergic medications are used to treat which of the following conditions? a. incontinence r/t overactive bladder b. obstructive urinary retention c. tachycardia d. BPH

a. incontinence r/t overactive bladder

A patient with a UTI is having burning and pain when urinating. What urinary analgesic is prescribed for relief of these symptoms? a. phenzypyridium b. ciprofloxacin c. lisinipril d. cephalosporin

a. phenzypyridium

The nurse is caring for a female patient who underwent a kidney transplant. The patient appears anxious and tearful and states "My body is going to reject the new kidney; I know I'm going to die." Which of the following is the best response by the nurse? a. "Don't think like that; I'm certain you will be fine." b. "I understand your concerns, let's talk about them." c. "You've waited years for this transplant, you need to think positively." d. "If your body rejects the kidney, you can go back on dialysis; you are not going to die."

b. "I understand your concerns, let's talk about them."

A client had kidney transplant 24 hours ago. The client complains of severe malaise, high fever, and graft tenderness. The x-ray indicates transplanted kidney is enlarged. The nurse would suspect which of the following complications? a. acute rejection b. hyper acute rejection c. kidney infection d. nephrotic syndrome

b. hyper acute rejection

A patient has been successfully treated for kidney stones and is preparing for discharge. The nurse recognizes the risk of recurrence and has planned the patients discharge education accordingly. What preventative measures should the nurse encourage the patient to adopt? a. increase intake of protein form plant sources b. increase fluid intake c. eat several small meals each day d. adopt a high calcium diet

b. increase fluid intake

A patient with poorly controlled diabetes has developed end-stage renal failure and consequent anemia. When reviewing this patient's treatment plan, the nurse should anticipate the use of which drug? a. Vitamin K b. low molecular weight heparin c. epoetin alpha d. magnesium sulfate

c. epoetin alpha

Susan Hopkins, a 32yo administrative assistant, is being seen by a physician with the urology practice where you practive nursing. She has a history of neurogenic bladder and uses permanent, indwelling catheter to facilitate urine elimination. What can Mrs. Hopkins consume to decrease the likelihood of bladder infection? a. red meat b. increased protein c. prune juice d. cranberry juice

d. cranberry juice

The nurse is educating a patient with urolithiasis about preventative measure to avoid another occurrence. What should the patient be encouraged to do? a. limit voiding to every 6-8 hrs so that increased volume can increase hydrostatic pressure, which will help push stones along the urinary system b. participate in strenuous exercise so that the tome of smooth muscle in the urinary tract can be strengthened to help propel calculi c. add calcium supplements to the diet to replace losses to renal calculi d. increase fluid intake so that the patient can excrete 2,500 to 4,000mL per day, which will help prevent additional stone formation

d. increase fluid intake so that the patient can excrete 2,500 to 4,000mL per day, which will help prevent additional stone formation

Which of the following are adverse effects of furosemide? a. hyperkalemia b. oliguria c. hypertension d. ototoxicity

d. ototoxicity

Which finding is an early indicator of bladder cancer? a. nocturia b. painless hematuria c. occasional polyuria d. dysuria

b. painless hematuria

Which of the following are signs and symptoms of severely decreased kidney function. SATA a. hypercalcemia b. pruritus c. increased Cr d. increased BUN e. oliguria

b. pruritus c. increased Cr d. increased BUN e. oliguria

A patient with pulmonary embolism is being treated with a heparin infusion. What diagnostic finding suggests to the nurse that treatment is effective? a. patients PT is within reference ranges b. arterial blood sampling tests positive for the presence of factor XIII c. patients platelet level is below 100,000/mm3 d. patients aPTT is 1.5 to 2.5 times the control value

d. patients aPTT is 1.5 to 2.5 times the control value

The nurse is caring for a patient that has developed oliguria. Oliguria is defined as urine output less than _______mL/kg/hr.

0.5

What are the complications of testicular torsion?

testicular atrophy r/t no blood flow permanent lost of testes if delayed treatment must be treated within 6 hours MEDICAL EMERGENCY