F2 Final ATI Questions: Renal

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client? A. Urinary retention B. Low back pain C. Incontinence D. Confusion

D. Confusion

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching? A. Drink 3L of fluid every day. B. Take 3,000mg of vitamin C daily. C. Restrict calcium intake to one serving per day. D. Eat 12oz of animal protein daily.

A. Drink 3L of fluid every day.

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs) Which of the following client statements indicates a need for further teaching? A. "I will need to wipe my perineal area from back to front after urination." B. "I will need to empty my bladder regularly and completely." C. "I will need to drink apple cider vinegar each day." D. "I need to drink 8 cups of liquid each day."

A. "I will need to wipe my perineal area from back to front after urination."

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi? A. Protein in the urine B. Dehydration C. Iron dificiency D. Obesity

A. Dehydration

A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan? A. Instruct the client to take antibiotics until dysuria is no longer present. B. Instruct the client to avoid drinking carbonated beverages. C. Instructs the client to drink 240 mL of tomato juice each day. D. Instructs the client to drink 1 L of fluid each day.

A. Instruct the client to avoid drinking the carbonated beverages.

A nurse in a clinic is assessing a client who has a new diagnosis of interstitial cystitis. The nurse should expect which of the following findings? A. Negative urine culture B. Denies urgency C. Denies pain with urination D. Fever

A. Negative urine culture

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following? A. Urinary tract infection B. Urinary incontinence C. Urinary frequency D. Urinary retention

A. Urinary tract infection

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure? A. "I'll urinate a little then stop." B. "I'll use the cleansing wipe from front to back." C. "I'll clean the inside of the container with the wipe." D. "I'll use each cleansing wipe twice."

B. "I'll use the cleansing wipe from front to back."

A nurse is reviewing the medical record of a client to has a urinary tract infection (UTI). Which of the following findings should the nurse recognizes a risk factor? A. COPD B. Diabetes mellitus C. Anemia D. Osteoporosis

B. Diabetes mellitus

A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following actions should the nurse take? A. Insert the needle into the needleless port at a 60° angle. B. Withdraw 3 to 5 mL of urine from the port. C. Wiped the area of the needleless port with sterile water. D. Don sterile gloves.

B. Withdraw 3 to 5 mL of urine from the port.

A nurses planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse including the clients plan of care? A. Cleanse the perineum from back to front. B. Obtain a prescription for an indwelling urinary catheter. C. Encourage fluid intake at and between meals. D. Offer the client the bedpan every 2hrs.

C. Encourage fluid intake at and between meals.

A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching? A. "The procedure will be cancelled if the urinalysis indicates the presence of red blood cells." B. "High frequency sound waves will be used to identify renal system structures." C. "You will be able to resume your regular diet as soon as the test is complete." D. "After the procedure you will be encouraged to drink plenty of fluids."

D. "After the procedure you will be encouraged to drink plenty of fluids."

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider? A. "I drink at least 2 quarts of fluid every day." B. "The last time I voided it was painful and red-tinged." C. "My period ended 2 days ago." D. "I don't eat shellfish because it gives me hives."

D. "I don't eat shellfish because it gives me hives."

A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching? A. "I will wipe from the back to front with the cleansing cloth." B. "I should not collect a urine sample when I am menstruating." C. "I should let the urine cool to room temperature before sending it to the lab." D. "I need to urinate a small amount in the toilet before collecting the sample."

D. "I need to urinate a small amount in the toilet before collecting the sample."

A nurse is caring for a client who has an indwelling urinary catheter and notes blood -tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A. Pernicious anemia B. Dehydration C. Prostate enlargement D. Bladder infection

D. Bladder infection

A nurse is assessing a client to has a urine output of 250mL in a 24 hour period. Which of the following descriptive terms should the nurse placed in the clients electronic record? A. Enuresis B. Anuria C. Nocturia D. Oliguria

D. Oliguria