ATI Renal

A nurse is providing teaching to a client who is preoperative prior to a transurethral resection of the prostate. Which of the following statements indicates an understanding of the information? a. I will not need to have a urinary catheter following this surgery. b. I will exprect my urine to be cloudy after having this procedure. c. At least I won't have leakage of urine after having this procedure d. I will feel the urge to urinate following this procedure

D. I will feel the urge to urinate following this procedure

A nurse is assessing 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? a. blood pressure 160/90 mmHg b. creatinine 0.8 mg/dL c. sodium 137 mg/dL d. urinary output 100mL/hr

a. blood pressure 160/90 mmHg

A nurse is providing dietary teaching to a client who has late-stage chronic kidney disease. Which of the following nutrients should the nurse instruct the client to increase in their diet? a. calcium b. phosphorous c. potassium d. sodium

a. calcium

A nurse is monitoring a client who is undergoing exxtracorporeal shockwave lithotripsy. the nurse should identify that Which of the following findings is the priority? a. dysrhythmias b. pink-tinged urine c. bruising on the flank area d. stone fragments in the urine

a. dysrhythmias

A nurse is assessing a client who was brought to the emergency department following a motor-vehicle crash. The nurse should recognize that Which of the following findings is a manifestation of bladder trauma? a. stress incontinence b. hematuria c. pyuria d. fever

b. hematuria

A nurse is teaching a client who has chronic kidney disease. Which of the following instructions should the nurse include? a. limit fluid intake b. limit caloric intake c. eat a diet high in phosphorus d. eat a diet high in protein

a. limit fluid intake

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action? a. relieve the client's pain b. encourage the client to increase fluid intake c. encourage the client to increase fluid intake c. monitor the client's I & O d. strain the client's urine

a. relieve the client's pain

A nurse is teaching a client about UTI's. Which of the following manifestations should the nurse include? a. weight gain b. back pain c. vaginal discharge d. muscle cramps

b. back pain

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? a. administer an analgesic to the client b. check the client's electrolyte values c. measure the client's weight d. restrict the client's protein intake

b. check the client's electrolyte values

A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider? a. WBC 6000/mm3 b. potassium 3 mEq/L c. clear, pale yellow drainage d. report of abdominal fullness

b. potssium 3 mEq/L

A nurse is providing teaching to a client who has a history of UTIs. Which of the following statements should indicate to the nurse the need for additional teaching? a. I will empty my bladder every 4 hours b. I will drink 2 L of fluids per day c. I will use a vaginal douche daily d. I will wear cotton underwear

c. I will use a vaginal douche daily

A nurse is teaching 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? a. check the fistula site daily for a vibration b. instruct the client to restrict movement of his left arm c. avoid taking blood pressure on the client's left arm d. instruct the client to sleep on his left side.

c. avoid taking bp on client's left arm

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the clients dialysate output is less than input, and his abdomen is distended. Which of the following actions should the nurse take? a. insert an indwelling urinary catheter b. administer pain meds to the client c. change the client's position d. place the drainage bag above the client's abdomen

c. change the client's position

A nurse is teaching a newly licensed nurse about collecting a 24-hour urine specimen for creatinine clearance. Which of the following instructions should the nurse include? a. include the first voided specimen at the start of the collection period b. discard the last voided specimen at the end of the collection period c. place signs in the bathroom as a reminder about the test in progress d. instruct the client to increase exercise during the 24-hr period

c. place signs in the bathroom as a reminder about the test in progress

A nurse is teaching a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make? a. you will be NPO for 8 hours following the procedure. b. an allergy to shellfish is a contraindication to this procedure c. you will need to be on bed rest following the procedure d. a creatinine clearance is needed prior to this procedure

c. you will need to be on bed rest following the procedure

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate. After the nurse continues the client's urinary catheter, Which of the following findings should the nurse report to the provider? a. pink-tinged urine b. report of burning upon urination c. stress incontinence d. decreased urine output

d. decreased urine output

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make? a. you will need to keep the sutures clean after this procedure b. you will be placed on your left side for this procedure c. expect to be on bed rest for 24 hours after this procedure d. expect to have pink-tinged urine after this procedure

d. expect to have pink-tinged urine after this procedure

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? a. diarrhea b. increased serum albumin c. hypoglycemia d. peritonitis

d. peritonitis

A nurse is teaching a client about the prostate-specific antigen test. Which of the following statements should the nurse make? a. you should fast for 8 hours after the PSA test b. annual PSA screenings should begin at age 40 c. expected PSA valures will decrease as you get older d. you should not ejaculate for 24 hours prior to the PSA test

d. you should not ejaculate for 24 hours prior to the PSA test

A nurse is teaching a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? a. you should complete the entire cycle of antibiotic therapy b. you should maintain complete bed rest until manifestations decrease c. you should drink 1000 mL of fluid per day d. you should avoid using NSAIDs for pain

you should complete the entire cycle of antibiotic therapy