EAQ KIDNEYS

The nurse recalls furosemide, prescribed for a client with hypervolemia, acts on which part of the renal system? - Distal tubule - Collecting duct - Glomerulus of the nephron - Loop of Henle

Loop of henle

Which essential action would the nurse take for a client experiencing postobstructive diuresis after removal of calculi causing hydronephrosis? - Obtain vital signs every 8 hours - Weigh the client every other day - Assess client's urine output every shift - Monitor the client's electrolyte levels

Monitor the client's electrolyte levels

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. Which response would the nurse give? - "Avoid regular use of tampons." - "Decrease your intake of prune juice." - "Increase your daily fluid consumption." - "Cleanse the perineum from back to front."

"Increase your daily fluid consumption."

Which instruction is most important for the nurse to include when providing discharge instructions to a client related to urinary self-catheterization? O "Wear sterile gloves when doing the procedure." O 'Wash your hands before performing the procedure." O "Perform the self-catheterization every 12 hours." O "Dispose of the catheter after you have catheterized yourself.

'Wash your hands before performing the procedure."

When reviewing the laboratory reports for a client with end-stage renal disease, which test result would the nurse anticipate? - Arterial pH 7.5 - Hematocrit of 54% - Creatinine of 1.2 mg/dL - Potassium of 6.3 mEq/L

- Potassium of 6.3 mEq/L

When admitting a client with benign prostatic hyperplasia, the nurse would expect to identify which assessment finding? - Perineal edema - Urethral discharge - Flank pain radiating to the groin - Distention of the suprapubic area

Distention of the suprapubic area

Admitted to the hospital in the oliguric phase of acute kidney injury, the client estimates their urinary output was less than 240 mL for the last 12 hours. The nurse reviews the plan of care and notes a prescription for 900 mL of water, orally over the next 24 hours. Which rationale would the nurse associate with this amount of prescribed fluid? -Equal the expected urinary output for the next 24 hours - Prevent the development of hypostatic pneumonia and fever - Compensate for both insensible a

Compensate for both insensible and expected output over the next 24 hours

A client beginning continuous ambulatory peritoneal dialysis asks what this entails. Which information would the nurse include when answering the question? - Hemodialysis and peritoneal dialysis will be done together. - Peritoneal dialysis is performed in an ambulatory care clinic. - About one-fourth of a liter of dialysate is maintained in the peritoneal cavity. - Constant contact is maintained between the dialysate and the peritoneal membrane.

Constant contact is maintained between the dialysate and the peritoneal membrane.

When a client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination, which condition would the nurse suspect? - Chronic glomerulonephritis - Cystitis - Nephrotic syndrome - Pyelonephritis

Cystisis

Which rationale would be explained to a client with chronic kidney disease scheduled to begin peritoneal dialysis? - Dialysis performs some of the work usually completed by the kidneys. - Peritoneal dialysis prevents development of complicating heart problems. - Dialysis removes bad chemicals from the body so the disease will not worsen. - Expidites the client's recovery because kidneys are not responding to other therapy.

Dialysis performs some of the work usually completed by the kidneys.

When essential action would the nurse take when providing care for a client with a nephrostomy tube? - Ensure free drainage of urine - Milk the tube every 2 hours - Instill 2 mL of normal saline every 8 hours - Keep an accurate record of intake and output

Ensure free drainage of urine

Which finding would the nurse identify as an early sign common to cancer of the urinary system? - Dysuria - Retention - Hesitancy - Hematuria

Hematuria

Which dietary need would the nurse discuss with a client being treated with continuous ambulatory peritoneal dialysis (CAPD) for chronic glomerulonephritis? • Low-calorie foods • High-quality protein • Increased fluid intake • Foods rich in potassium

High-quality protein

Which discharge instruction would the nurse give the client with limited mobility to prevent urinary stasis and formation of renal calculi? - Increase oral fluid intake to 2 to 3 L per day. - Maintain bed rest after discharge. - Limit fluid intake to 1 L per day. - Void at least every hour.

Increase oral fluid intake to 2 to 3 L per day.

For a client with acute kidney injury, which abnormality would the nurse associate with the likely cause of the client's confusion and irritability? • Hyperkalemia • Hypernatremia • Limited fluid intake • Increased blood urea nitrogen level

Increased blood urea nitrogen level

nurse would assess the client with a long history of hypertension for which complication? Cataracts • Esophagitis © O Kidney failure • Diabetes mellitus

Kidney Failure

Which medication prescribed for an older client with hypertension would cause the nurse to become concerned that there might be risk for injury? - Loop diuretic - ACE inhibitor - Calcium agonist - Alpha adrenergic blocker

Loop diuretic

For the client within a long-term care facility, which action would a nurse plan to take before initiating prescribed antibiotic therapy for urethritis? - Prepare for urinary catheterization. - Teach the client how to perform perineal care. - Start a 24-hour urine collection. - Obtain a urine specimen for culture and sensitivity.

Obtain a urine specimen for culture and sensitivity.

For a client with acute kidney injury, which action would the nurse take after noting the latest potassium level is 6.2 mEq? - Alert the cardiac arrest team - Call the laboratory to repeat the test - Obtain vital signs and notify the primary health care provider - Obtain an ECG strip and obtain an antiarrhythmic medication

Obtain vital signs and notify the primary health care provider

Which initial action would a nurse take when providing care for an older adult client who is bedridden and incontinent of urine? - Restrict fluid intake - Offer urinal or bedpan regularly - Apply incontinence pants - Insert an indwelling urinary catheter

Offer urinal or bedpan regularly

A client reporting dysuria, nocturia, and difficulty starting a urinary stream has a cystoscopy and biopsy of the prostate gland scheduled. After the procedure, the client reports an inability to void. Which action would the nurse take? - Limit oral fluids until the client voids - Assure the client that this is expected - Insert a urinary retention catheter - Palpate above the pubic symphysis

Palpate above the pubic symphysis

A child with a diagnosis of glomerulonephritis has a decrease in urine output to less than 100 mL/24 hr, a creatinine clearance of 60 mL/min, and an irregular apical pulse. A diagnosis of acute renal failure is made. Which serum level would require immediate intervention? - Sodium 128 mEq/L - Bilirubin 0.3 mg/dL - Creatinine 1.3 mg/dL - Potassium 6.1 mEg/L

Potassium 6.1 mEg/L

Which outcome must be achieved prior to discharge of a client treated for bacterial cystitis? - Understands need to drink 4 L of water per day - Able to identify dietary restrictions and plan menus - Achieves relief of symptoms and maintains kidney function - Recognizes signs of bleeding as a complication of treatment

Recognizes signs of bleeding as a complication of treatment

Which test would determine whether a client's newly transplanted kidney is working effectively? - Renal scan - Serum creatinine - 24-hour urine output - White blood cell (WBC) count

Serum creatinine

Which laboratory result is most important for the nurse to evaluate before administering a diuretic to a client with hypertension? - Serum sodium - Serum calcium (v Serum potassium - Serum magnesium - Serum potassium

Serum potassium

Which information is most important for the nurse to include in the discharge medication teaching plan for a client who will be taking furosemide, digoxin, and potassium chloride? - Maintenance of a low-potassium diet - Avoidance of foods high in cholesterol - Signs and symptoms of digoxin toxicity - Importance of an adequate intake and output

Signs and symptoms of digoxin toxicity

For the older adult population, which genitourinary factor contributes to urinary incontinence? -Sensory deprivation - Urinary tract infection - Frequent use of diuretics - Inaccessibility of a bathroom

Urinary tract infection

Prior to beginning a client's hemodialysis, which action would the nurse take? - Obtain a urine specimen to evaluate kidney function - Weigh the client to establish a baseline for later comparison - Administer medications scheduled to be given within the next hour - Explain the peritoneum serves as a semipermeable membrane to remove wastes

Weigh the client to establish a baseline for later comparison

When providing care for a client with chronic renal disease, which post-hemodialysis manifestation would the nurse expect? - Hematuria - Weight loss - Hypertension - Increased urine output

Weight loss