Study Guide

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?

1 mL

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 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 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 caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Amber

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take to prevent the development of skin breakdown?

Apply a moisture barrier ointment to the skin.

A nurse is planning to insert an indwelling urinary catheter for an adult female client. Which of the following actions should the nurse plan to take?

Lubricate the catheter 2.5 to 5 cm (1 to 2 in).

A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage renal disease. At the first dialysis treatment, the client tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from my hospital and I think my kidneys are working again." The nurse should recognize the client is demonstrating which stage of Kubler-Ross's stages of grieving?

Denial

A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?

Determine the patency of the tubing.

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 mellitus

A nurse is caring for a client who is postoperative following an abdominal hysterectomy and has an indwelling urinary catheter in place. An assistive personnel (AP) reports to the nurse that the client's abdominal dressing is saturated with blood. Which of the following tasks should be delegated to the AP?

Emptying the urinary collection bag

A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider?

Increase in serum creatinine

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Metformin

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 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

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 preparing a client for a kidney biopsy. Which of the following actions should the nurse take?

Review the coagulation studies before the procedure.

A nurse is planning care for a client who has renal stones and a urinary catheter in place. Which of the following interventions should the nurse include in the plan of care?

Strain the client's urine through a mesh filter.

A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?

The nurse separates the client's labia with her dominant hand

A nurse in a provider's office 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 emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Urinary tract infection

A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

Urinary urgency

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

White blood cells (WBC) 10

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 client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?

"Brown-colored urine is a harmless side effect of the medication."

A nurse is reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. Which of the following statements by the client indicates an understanding of the teaching?

"I will plan to come to the clinic for periodic testing of my blood glucose."

A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

30mL

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 reinforcing teaching with a client who has frequent urinary tract infections (UTI) The nurse should identify that the client can use which of the following herbal supplements to help prevent UTI's?

Cranberry Juice

A nurse is preparing a sterile field for the insertion of a urinary catheter. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Perform hand hygiene, Place the sterile package on the work surface, Open the outermost flap of the package away from the body, Open the side flaps of the package, Open the innermost flap of the package toward the body, and Use the inner surface of the package as a sterile field

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

Diluted Urine

A nurse is caring for a client who has acute kidney injury. The client's ABGS are: pH: 7.26 PaCO2: 30 mm Hg HCO3: 14 mEq/L Which of the following acid-imbalances should the nurse identify the client is experiencing?

Metabolic acidosis

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).

Milk, Sunflower, and Poultry

A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?

Position the client supine.

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

"Use the provided towelette to cleanse the area by moving in a back-and-forth motion."

A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?

"I took my metformin before breakfast."

A nurse is reinforcing teaching about management of constipation during pregnancy with a group of pregnant clients who are pregnant. Which of the following statements should the nurse include in the teaching?

"Eat an apple to help with constipation."

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 client undergoing hemodialysis who will be discharged in the morning. Which of the following client statements most influences the current plan of care?

"My neighbor who drives me everywhere wrecked the car this morning."

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."

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 discharge teaching about self-administered peritoneal dialysis with a client. Which of the following statements by the client indicates an understanding of the teaching?

"The amount of the liquid output should be greater than what was put in"

a nurse is caring for a client who is to maintain a fluid restriction of 1200 ml/24 hr. During the first 4 hr of the shift the client had a total fluid intake of 300 ml. How many ml of fluids can the client have over the next 16 hr?

900 ml

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 assisting with the plan of care for a client who has a three-way urethral catheter connected to continuous bladder irrigation following a suprapubic and transurethral resection of the prostate. Which intervention should the nurse include in the plan of care?

Adjust the flow rate of the irrigation fluid so that the urine is light pink.

A nurse is reinforcing discharge teaching to a client who will be performing intermittent self-catheterization. Which of the following statements should the nurse include in the teaching?

Advance the catheter 5 cm (2in) after urine begins to flow.

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?

At the beginning of the collection time, urinate and then discard the urine.

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 reinforcing teaching to a client who has a history of recurring uric acid stones and has been prescribed a low-purine diet. Which of the following foods should the nurse instruct the client to avoid while on a low-purine diet?

Brown gravy

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

A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. The client's BUN is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following actions should the nurse take?

Evaluate the urine output for amount and urine for specific gravity

A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output during the past 8 hr. Which of the following actions should the nurse take?

Continue to monitor the client

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern?

Close the door and cover the client during the procedure

A nurse is reinforcing teaching with a newly hired assistive personnel (AP) who is assisting with the care of a client who has an indwelling urinary catheter. Which of the following instructions should the nurse give to the AP?

Close the tubing clamp when transferring the client from the bed to a chair.

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)

Collect urine specimen prior to the procedure Obtain an informed consent prior to the procedure Complete coagulation studies prior to the procedure

A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take first?

Explain to the client that she will feel temporary discomfort.

A nurse is collecting data from a client who has a urine output of 250 ml in a 24-hr period. Which of the following data should the nurse identify as the best indicator of fluid volume status?

Daily weight

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 reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?

Dehydration

A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)

Document vital signs, Obtain the client's weight, and Check the graft site for a palpable thrill.

A nurse is preparing to insert an indwelling urinary catheter for a female client. After opening the catheter kit and preparing the supplies, which of the following steps should the nurse perform next?

Don sterile gloves.

Teaching with a female client about preventing UTI. Which of the following instructions should the nurse include?

Drink 16 oz of cranberry juice each day

A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply.)

Dysuria, Urinary frequency, and Hematuria

A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the client's diet?

Eggs

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 inserts an indwelling urinary catheter for a client who is preoperative. Three days later, the client develops a urinary tract infection. The nurse should identify that the client has which of the following types of infections?

Health care-associated

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 charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a male client. Which of the following actions requires the charge nurse to intervene?

Lubricates the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing

A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take?

Irrigate the catheter as prescribed

A nurse is caring for a school-age child who has acute glomerulonephritis. The child 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 caring for a client following a renal biopsy. Which of the following actions should the nurse take? (Select all that apply).

Monitor for hematuria and Check for flank pain

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 for the bleeding

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 caring for an older adult client who has confusion and weakness. The client has a Hct of 53%, a BUN of 25 mg/dL, and a urine specific gravity of 1.232. Which of the following actions should the nurse contribute to the client's plan of care? (Select all that apply.)

Monitor the client's intake and output, Weigh the client daily, Instruct the client to sit on the side of the bed for a few minutes before standing, Check the client's orientation to person, place, and time regularly.

A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Oliguria

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 collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

Peripheral edema

A nurse is preparing to perform a urinary catheterization for an older adult client who speaks a different language than the nurse. Which of the following actions should the nurse take to explain the procedure to the client?

Provide an interpreter to explain the procedure.

A nurse is assisting with the care of a client who is undergoing his initial peritoneal dialysis treatment. Which of the following findings is the nurse's priority?

Purulent dialysate outflow

A nurse whose left hand is dominant is preparing to perform a straight catheterization for a client who is paraplegic. Which of the following actions should the nurse take?

Raise the bed to a comfortable working height.

A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who had an episode of urinary incontinence in bed and is now sitting up in a chair. Which of the following actions by the AP indicates the need for the nurse to intervene?

Reaches over the bed to straighten the fitted sheet

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 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 discussing indications for urinary catheterization with a newly licensed nurse. Which of following indications should the nurse include? (Select all that apply.)

Relief of urinary retention, Measurement of residual urine after urination, Presence of an open perineal wound

A nurse is reinforcing teaching with a client who reports urinary urgency and frequency. The nurse should identify that the client can use which of the following herbal supplements to treat the symptoms of an enlarged prostate?

Saw palmetto

A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function?

Serum creatinine

A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?

Suprapubic discomfort

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.

An older adult client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage this behavior?

Take the client to the bathroom on an every-2-hr schedule.

A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should monitor the client for which of the following expected outcomes after catheter removal?

Temporary urinary retention

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 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 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 obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?

Use a sterile specimen container.

A nurse is reviewing the medication record of a client who has chronic renal disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Vancomycin

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase intake of which of the following?

Water

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

​Elevated creatinine

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?

​Stress incontinence