RN Targeted Medical Surgical Renal and Urinary Online Practice 2019

a nurse is providing teaching to a client who has chronic kidney disease (CKD). which of the following statements by the client indicates an understanding of the teaching?

"i will weight myself every morning."

a nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the treatment of calcium phosphate kidney stones. which of the following actions should the nurse take?

strain all of the client's urine

a nurse is performing admission assessment for a client who has severe chronic kidney disease (CKD). which of the following findings should the nurse expect?

tachypnea

a nurse is caring for a client immediately following a kidney transplant. the nurse should identify which of the following findings as a possible indication of a delay in functioning of the transplanted kidney?

urine output 30 mL/2 hr

a nurse is preparing to assess a client who received hemodialysis 1 hr ago. which of the following assessments should the nurse perform first?

vital signs

a nurse is planning care for a client who has acute glomerulonephritis. the nurse should plan to provide which of the following interventions?

weigh the client daily- a decrease in weight indicates the effectiveness of the therapy - the nurse should promote the client's conservation energy and encourage them to rest as much as possible

a nurse is providing teaching to a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. which of the following client statements indicates an understanding of the teaching?

"i must insert a catheter through my stoma to drain the urine."

a nurse is providing discharge teaching to a client who has chronic kidney disease (CKD). which of the following statements by the client indicates an understanding of the teaching?

"i will decrease my intake of foods that are high in phosphorus."

a nurse is teaching a client who has urge urinary incontinence about bladder retraining. which of the following instructions should the nurse include?

"increase the intervals between urination by 15 minutes per day when able to remain continent"

a nurse is planning education about cyclosporine for a client who had a kidney transplant 2 days ago. which of the following statements should the nurse plan to include?

"you will need to continue taking this medication to protect your new kidneys"

a nurse is reviewing laboratory report of a client who has acute kidney injury (AKI). which of the following findings should the nurse expect?

BUN 30 mg/dL urine output 40 mL in the past 3 hr hematocrit 30%

a nurse in an emergency department is caring for a client who reports costovertebral angle tenderness, nausea, and vomiting. which of the following laboratory values should the nurse report to the provider?

WBC count 15,000/mm3

a nurse is planning care for a group of clients. which of the following clients should the nurse plan to monitor for signs of nephrotoxicity?

a client who is receiving gentamicin for the treatment of a wound infection

a nurse is monitoring a client following hemodialysis. the nurse should recognize that which of the following factors places the client at risk for seizures?

a rapid decrease in fluid

a nurse is planning care for a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat urolithiasis. which of the following actions should the nurse plan to take?

apply electrodes for cardiac monitoring

a nurse is caring for a postoperative client following arteriovenous (AV) fistula creation in the left arm. which of the following actions should the nurse take?

auscultate for bruits in the client's fistula very 4 hr

a nurse is teaching a client who has a diagnosis of acute pyelonephritis. which of the following instructions should the nurse include in the teaching?

avoid the use of NSAIDs for pain

a nurse is planning care for a client who is postoperative following a nephrectomy. which of the following assessments is the nurse's priority?

blood pressure

a nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. upon detecting an output obstruction, which of the following actions should the nurse take first?

check the irrigation tubing for kinks

a nurse is assessing a client who has chronic kidney disease and has completed the third peritoneal dialysis (PD) treatment. which of the following findings should the nurse report to the provider?

cloudy dialysate effluent

a nurse is caring for a client who has acute kidney injury (AKI). which of the following serum laboratory findings should the nurse report to the provider?

creatinine 4 mg/dL- above the expected reference range of 0.5 to 1.3 mg/dL indicates impaired kidney function.

a nurse is performing an admission assessment of a client who has acute glomerulonephritis. the nurse should expect which of the following findings?

dark-colored urine

a nurse is caring for a client who is scheduled for an intravenous urography. which of the following interventions is the nurse's priority?

determine if the client has an allergy to iodine or shellfish

a nurse is reviewing the medical records of four clients. the nurse should identify which of the following disorders as a risk factor for chronic pyelonephritis?

diabetes mellitus

a nurse is reviewing the medical history of a client who has end-stage kidney disease. the nurse should identify that which of the following factors in the client's history is a contraindication for receiving hemodialysis

history of hemophilia

a nurse is planning care for a client who has chronic kidney disease and a potassium level of 7.3 mEq/L. which of the following interventions should the nurse plan to take?

infuse regular insulin in dextrose 10% in water

a nurse is obtaining a urine specimen for culture and sensitivity for a client who has manifestations of a urinary tract infection. which of the following actions should the nurse take?

instruct the client to start urinating then pass the container into the stream - use sterile specimen container - can collect at any time of day - should transport the specimen within 30 min bc the specimen container does not contain perservatives

a nurse is providing instructions for reducing the dietary intake of potassium to a client who has chronic kidney disease. which of the following client food selections indicates an understanding of the teaching?

one large raw apple- lowest in potassium other low: bread, eggs, butter, green beans high in potassium: spinach, broccoli, cantaloupe, oranges

a nurse in a women's health clinic is caring for a client who reports urinary urgency and dysuria. which of the following additional findings should the nurse identify as an indication of a urinary tract infection (UTI)?

pyuria- white blood cells in urine

a nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. which of the following findings should the nurse report to the provider as an adverse effect of prednisone?

sore throat Rationale: Glucocorticoids depress the immune system and increase the client's risk for infection. The nurse should recognize a sore throat as an indication of infection and report this finding to the provider. AE of predispose: - black, tarry stools - blurry vision - manifestations of increased intraocular pressure - psychological alterations