EAQ Renal

A nurse provides dietary instructions to a client with calcium oxalate kidney stones. Which instruction should the nurse give to the client?

limit intake of sodium

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

oliguria

The nurse is caring for a client who has been diagnosed with glomerulonephritis. Which initial urinary finding supports this diagnosis?

proteinuria

A client who has been receiving hemodialysis for several years is to receive a kidney transplant. What should the nurse share in the client's preoperative teaching plan? Select all that apply.

the kidney may not function immediately, precautions are needed to prevent infection, a urinary catheter will be present postoperatively

A nurse is caring for a client after surgical creation of a conduit diversion (ileal conduit). Which information will the nurse consider when planning care for this client?

urine continuously drains from it

The nurse is reviewing a client's current medication therapy and suspects hematuria. Which medication is responsible for the client's condition?

warfarin

Which is an abnormal finding of the urinary system?

Pain in the flank region upon hitting

A nurse is counseling a woman who has had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?

Proximity of the urethra to the anus

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

uremia

Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?

removing the catheter within 24 hours

What should the nurse monitor for when caring for a postoperative client who presents with 180 mL of urine in the urinary drainage bag from the past 8 hours?

renal failure

A client is diagnosed as having kidney failure. During the oliguric phase, what should the nurse assess for in this client?

hyperkalemia

A client has undergone pelvic surgery and the nurse removes the catheter in a week according to instructions. In the follow up within several hours, which finding in the client indicates a need for reinsertion of catheter?

retention

The older adult client with a weakened urinary sphincter is at risk for which condition?

skin irritation

A client who has repeated episodes of cystitis is scheduled for a cystoscopy to determine the possibility of urinary tract abnormalities. The client asks the nurse to describe the procedure. Which is the nurse's most appropriate response?

"It is the visualization of the inside of the bladder with an instrument connected to a source of light."

A nurse is caring for a client with end-stage kidney disease who is about to receive a transplant. When the client returns from the postanesthesia care unit after a kidney transplant, how often should the nurse measure the client's urinary output?

1 hour

A nurse writes a goal of preventing renal calculi in a care plan for a client with paraplegia. Which information most likely caused the nurse to write this goal?

Accelerated bone demineralization

The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition?

Bicarbonate 15 mEq/L

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.

What are the general manifestations associated with clients who have urinary system disorders? Select all that apply.

Excessive thirst, nausea and vomiting, elevated blood pressure

After a prostatectomy the client reports that the urinary catheter tubing is pulling too tightly on the leg. The nurse observes that the indwelling catheter tubing is taut and is taped properly to the thigh. Which action should the nurse take?

Explain that the traction helps control bleeding.

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 who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary healthcare provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests should the nurse expect the primary healthcare provider to prescribe to confirm this diagnosis?

Urinalysis and urine culture and sensitivity

A client is to have hemodialysis. What must the nurse do before this treatment?

Weigh the client to establish a baseline for later comparison.

The registered nurse discusses normal renal function with the client. Which statements made by the client are correct regarding regulatory functions of the kidney? Select all that apply.

acid-base balance, fluid and electrolyte balance

A nurse is caring for a client who had a kidney transplant. Which test is most important for the nurse to monitor to determine whether a client's newly transplanted kidney is working effectively?

serum creatinine

What is the cup-like structure that collects a client's urine and is located at the end of each papilla?

calyx

The nurse finds that a client with a urinary disorder has very pale-yellow-colored urine. What is the significance of this abnormal finding?

It indicated dilute urine

A client with end-stage renal disease is hospitalized. For which complications should the nurse monitor the client? Select all that apply.

anemia, dyspnea

Which is a primary glomerular disease?

chronic glomerulonephritis

Which instructions will be most beneficial for a diabetic client with renal disease? Select all that apply.

check bp regularly, contact hcp before taking ibuprofin, encourage to undergo microalbuminuria test yearly

After assessing a client with an involuntary loss of urine, the nurse suspects overflow incontinence. Which symptom supports the nurse's suspicion?

constant dribbling of urine

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the client's medical record?

cystitis

The nurse is preparing a blood transfusion for a client with renal failure. Why does anemia often complicate renal failure?

decrease in epo

Which actions should the nurse perform while collecting subjective data from a client during a focused urinary assessment? Select all that apply.

inquire about painful urination, ask the client about changes in characteristics of urination

A client develops acute glomerulonephritis after a recent streptococcal infection. The nurse should expect to find which clinical manifestation during the health history and physical examination?

periorbital edema

A client is scheduled for a kidney ultrasound. Which instructions given by the nurse to the client would be most beneficial? Select all that apply.

drink plenty of fluids, do not urinate, lie flat and still

Which instructions given to a client with renal calculi would be most beneficial? Select all that apply.

drink plenty of fluids, substitute lemon juice for tea

The urinalysis report of a client reveals cloudy urine. What does a nurse infer from the client's report?

urinary infection