AG UNIT 2- RENAL

The nurse is providing postoperative care 8 hours after a client had a total cystectomy and the formation of an ileal conduit. Which assessment finding should be reported immediately?

Dusky-colored stoma may denote a compromised blood supply to the stoma and impending necrosis

Where do you insert and indwelling urinary catheter?

Urethral orifice (between clitoris and vagina)

A nurse is caring for a client with acute kidney injury who is receiving a protein-restricted diet. The client asks why this diet is necessary. Which information should the nurse include in a response to the client's questions?

This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

What is the primary purpose of conducting a cystoscopy in a client with decreased and difficult urination?

To ascertain the presence of urethral wall abnormality

A client with a history of chronic kidney disease is hospitalized. Which assessment findings will alert the nurse to kidney insufficiency?

Edema and pruritus

Twenty-four hours after a penile implant the client's scrotum is edematous and painful. What should the nurse do?

Elevate the scrotum using a soft support

A client is scheduled for a transurethral resection of the prostate. What should the nurse tell the client to expect after surgery?

"An indwelling urinary catheter is required for at least a day."

The nurse is preparing a client who is on metformin therapy and is scheduled to undergo renal computed tomography with contrast dye. What does the nurse anticipate the primary healthcare provider to inform the client regarding the procedure?

"Discontinue metformin 1 day prior to procedure."

A client is treated with a radium implant for cancer of the cervix. Which information is important for the nurse to teach the client when giving discharge instructions?

"Return for follow-up care."

Which client's urine specific gravity level is abnormal? 1. 1.006 2. 1.012 3. 1.028 4. 1.041

4. 1.041

Why should women urinate as soon as possible after intercourse?

voiding clears the urinary meatus and urethra of microorganisms

A client is admitted with a diagnosis of torsion of the testes. How should the nurse respond when the client asks, "Why do I have to have surgery right now?"

"Irreversible damage occurs after a few hours."

Which instructions given to a client with renal calculi would be most beneficial? Select all that apply. 1. Drink plenty of water." 2. "Have spinach soup every day." 3. "Substitute lemon juice for tea." 4."Include high amounts of protein in the diet." 5. "Consume foods rich in omega-3-fatty acids."

1. Drink plenty of water 3. Substitute lemon juice for tea

What age-related changes are associated with the female genitalia? Select all that apply. 1. Dry vagina 2. Firm breasts 3. Erected nipples 4. Graying of pubic hair 5. Decreased size of the labia majora

1. Dry Vagina 4. Graying of pubic hair 5. Decreased size of the labia majora

To help prevent a cycle of recurring urinary tract infections, the nurse should plan to instruct a female client to: 1. Increase the daily intake of citrus juice 2. Douche regularly with alkaline agents 3. Urinate as soon as possible after intercourse 4. Take bubble baths regularly

3. Urinate as soon as possible after intercourse

Which complications does the nurse expect in the client with a renal disorder who has a blood urea nitrogen (BUN)/creatinine ratio of 28? Select all that apply. 1. Malnutrition 2. Hepatic damage 3. Kidney impairment 4. Fluid volume deficit 5. Obstructive uropathy

4. Fluid volume deficit 5. Obstructive uropathy

If a client on peritoneal dialysis develops symptoms of severe respiratory difficulty during the infusion of the dialysate solution, what should the nurse do?

Drain the fluid from the peritoneal cavity

A client has returned from surgery with a nephrostomy tube. Which is the most essential nursing intervention for this client?

Ensure free drainage of urine.

A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?

Hemorrhage

The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization?

Human chorionic gonadotropin (hCG)

The laboratory report of a client reveals increased levels of atrial natriuretic peptide. Which other finding does the nurse anticipate to find in the client?

Increased sodium excretion in urine-Atrial natriuretic peptide is secreted by the myocyte cells in the right atrium. Atrial natriuretic peptide acts on the kidneys and causes an increase in the excretion of sodium by inhibiting aldosterone

A nurse is teaching about the function of the loop of Henle. Which function should the nurse include?

Reabsorption of sodium in the ascending limb

The nurse finds that a client has reduced urinary output. Which condition would the nurse document in the clients medical record?

Oliguria- reduced urinary output of less than 400mL in 24 hour interval

A client with mumps reports pain, inflammation, and swelling of the testes. Which condition does the nurse suspect in the client?

Orchitis

A nurse is reviewing the laboratory reports of a client with a diagnosis of end-stage renal disease. Which test result should the nurse anticipate?

Potassium of 6.3 mEq/L (6.3 mmol/L)

Which part of the kidney produces the hormone bradykinin?

The juxtaglomerular cells of the arterioles produce the hormone bradykinin, which increases blood flow and vascular permeability.

What instruction regarding sample collection should the nurse give a client who is ordered a clean-catch urine specimen?

Urinate small amount, stop flow, fill half of cup

A client with renal colic is scheduled for extracorporeal shock-wave lithotripsy. The night before the procedure, the client puts the call light on frequently and has many demands. Which will be an appropriate statement for the nurse to make?

You are facing a new experience tomorrow; tell me what concerns you have."

Which statement indicates the nurse has a correct understanding about kidney ultrasonography?

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

A client scheduled for a transurethral prostatectomy expresses concern about the effect the surgery will have on sexual ability. Which information should the nurse share with the client?

May experience retrograde ejaculations

A 55-year-old client reports cessation of menstrual periods. Which term best describes the client's condition?

Menopause

Which urodynamic study provides information on bladder capacity, bladder pressure, and voiding reflexes?

Cystometrography (CMG)

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response by the nurse is most appropriate?

"There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

The nurse provides discharge teaching to a client who had a transurethral vaporization of the prostate. Which statement by the client indicates successful learning?

"I should notify my primary healthcare provider if my urinary stream decreases.

During an examination of a client with kidney dysfunction, the nurse finds the presence of glucose in the urine. Which nursing intervention is beneficial for this client?

Reporting this finding to the primary healthcare provider

A client with kidney dysfunction reports anorexia, itching, nausea, vomiting, and muscle cramps. Which renal complication do these symptoms indicate?

Uremia