Renal Final PRep

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

Abdominal mass

A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?

BUN 25 mg/d

A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?

A client who has a history of IV drug abuse

A nurse is reviewing the medicals records of a group of clients. The nurse should identify that hemodialysis is appropriate for which of the following clients?

A client who has minimal urine output following a drug overdose

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?

BUN

a nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

BUN 35 mg/dL, serum creatinine 8 mg/dl

A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider? Blood pressure 162/90 mm Hg

Blood pressure 162/90 mm Hg

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

Body weight

A nurse is reviewing data for a client who has chronic kidney disease. Which of the following data should the nurse identify as the best indicator of fluid volume status?

Daily weight

nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

Dark amber color

A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect?

Decreased level of consciousness

A nurse is assisting with discharge of a client who is postoperative from a kidney transplant. The nurse should instruct the client that which of the following is an indication of rejection?

Decreased urine output

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

Periorbital edema

A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?

Phenazopyridine hydrochloride works as a urinary tract analgesic.

A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse recommend including in the plan of care?

Place the client on a low-sodium diet.

A nurse is collecting data on a client who has end-stage kidney disease (ESKD). Which of the following is an expected finding?

Pruritus

A nurse is reviewing the medical record of a client who has acute kidney injury. Which of the following findings should the nurse recognize as a potential causative factor?

Recent CT scan with contrast dye

A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?

Reddish-orange urine

A nurse is reinforcing nutrition teaching to a client who has chronic kidney disease about limiting foods high in phosphorus. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply).

poultry

A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CABD). Which of the following should the nurse include in the teaching?

the dialysis is continuous 24 hr a day, 7 days a week

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

Microscopic hematuria

A nurse is collecting data for a client who has early manifestations of renal impairment. Which of the following findings should the nurse expect?

Diluted urine

A nurse is caring for a client who is receiving treatment for a potassium level of 3.1 mEq/L. The nurse should identify a decrease in which of the following factors as a therapeutic response to therapy?

Urinary output

A nurse is collecting data for a middle aged client who has pyelonephritis. Which of the following finding should the nurse expect?

flank pain

A nurse is planning a low-protein diet for a client who has chronic renal failure. The client states, "Why do I have to be concerned with protein?" Which of the following responses is appropriate?

"Protein breakdown produces waste product that can build up in your body."

A nurse is reinforcing teaching with a client who is to perform manual peritoneal dialysis at home. The nurse should include which of the following instructions?

Sit in a chair when instilling the dialysate solution

A nurse is reviewing a client's laboratory results. Which of the following findings should the nurse report to the provider?

Sodium 126 mEq/L

A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 mEq/L. Which of the following medications should the nurse expect to administer?

Sodium polystyrene

A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?

Sodium polystyrene sulfonate

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Check the child's weight daily.

A nurse is collecting data from a client who is to have an intravenous pyelogram (IVP). Which of the following data is a contraindication to this procedure?

Client has an allergy to shellfish

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

Diabetes

A nurse is collecting data from a female client who has a cystocele. Which of the following findings should the nurse expect?

Difficulty voiding

A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

Drink 16 oz of cranberry juice each day

A nurse in a community clinic is collecting data from an older adult client who has a body mass index of 17.5. When evaluating the client for dehydration, the nurse should look for which of the following indications of fluid-volume deficit?

Dry mucous membranes

A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect? Elevated creatinine

Elevated creatinine

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Encourage the client to drink 3 L of fluids per day

A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect?

Headache

A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?

Headache, restlessness

A nurse is reviewing the laboratory test results from a client who has acute kidney injury. Which of the following findings should the nurse identify as expected for this condition?

Hypermagnesemia

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

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

A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe?

Low-sodium, fluid-restricted

A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?

Instruct the client to avoid drinking caffeinated beverages.

A nurse is caring for a client following a renal biopsy. Which of the following actions should the nurse take? (Select all that apply).

Monitor for hematuria

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

Monitor intake and output hourly

A nurse is assisting in the post-dialysis plan of care for a client who is receiving hemodialysis treatment for chronic kidney disease. Which of the following interventions should the nurse include in the plan of care?

Monitor the client for bleeding

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis? Nausea and vomiting

Nausea and vomiting

A nurse in an urgent care clinic is caring for a client who reports muscle weakness after taking several over-the-counter diet pills. Which of the following laboratory results should be the nurse's priority?

Potassium 2.4 mEq/L

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?

Obtain a 12-lead ECG

A nurse is assisting in the plan of care for a client who is scheduled to have a renal biopsy. Which of the following actions should the nurse include in the plan? (Select all that apply).

Obtain an informed consent prior to the procedure; Complete coagulation studies prior to the procedure

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply).

Orange juice; Bananas

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

Reduce intake of foods high in potassium

A nurse is reviewing laboratory findings for a client who has acute kidney disease. Which of the following findings should the nurse expect?

Serum creatinine 6 mg/dL

A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Suprapubic tenderness

A nurse is reinforcing teaching to a client who is scheduled for an intravenous pyelogram. Which of the following should the nurse include in the teaching?

Take a laxative the evening before the procedure.

A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury. Which of the following information should the nurse include in the teaching?

The client's urine output is less than 400 mL per 24 hours

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose for this test?" Which of the following responses should the nurse give?

This test will inform your provider how your kidneys are functioning.

A nurse in a provider's office is collecting data from an older adult client who reports a sudden onset of urinary incontinence. The nurse should collect additional data to determine if the client has which of the following conditions?

Urinary tract infection

A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment?

Urine output 200 mL/4 hr

A nurse is reinforcing teaching to a female client who has acute cystitis and is to start therapy with phenazopyridine. Which of the following information should the nurse give to the client?

Wear a protective pad under clothing to prevent staining."

A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Weigh at the same time each day.

A nurse is reinforcing teaching with a group of parents about malignant renal and intra-abdominal cancers of childhood. The nurse should include that which of the following cancers is the most common malignant renal and intra-abdominal tumor of childhood?

Wilms' tumor

A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?

Yellow nasal discharge

A nurse is reinforcing teaching with a client who is to undergo a creatinine clearance test. Which of the following information should the nurse include in the teaching?

You will need to avoid rigorous exercise during the test time.

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

confusion