Urinary quiz

When caring for a patient with a left arm arteriovenous fistula, which action will the nurse include in the plan of care to maintain the patency of the fistula?

Auscultate for a bruit at the fistula site

The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse's best response?

"Addiction rarely occurs in the brief time post surgical analgesia is required"

A patient is on postoperative day 2 after a nephrectomy. What is the initial & most effective way to increase her peristalsis?

Ambulation

A nurse planning care for a client who has undergone TURP remembers that the most common cause of Post-Op pain is which factor?

Bladder Spasms

A nurse is caring for a client with diagnostic of chronic renal failure (CRF) which early sign of CRF does the nurse except to note during data collection?

Blood pressure of 168)94 mm Hg

Sodium polystyrene sulfonate (Kayexlate) PO is ordered for a patient with Hyperkalemia. Before administering the medication, the nurse should assess the

Bowel sounds

A hospitalized client has just found to have acute renal failure (ARF) l. The laboratory calls the nursing unit & reports that the client has a serum potassium level of 6.4 mEq/l. On the basis of this laboratory finding, the nurse should first take which action?

Call the Health care provider (HCP)

A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV or insulin & Dextrose 50% IV?

Cardiac rhythm

A 42 yr old woman is admitted with complaints of dysuria, & lower back pain. The urinalysis report is positive for res blood cells & the blood work shows an elevated white blood cells count. Which medication will the nurse anticipate the HCP will order?

Ciprofloxacin (Urecholine)

The term ________ describes the presence of stones in the urinary bladder

Cystolithasis

The patient has ESRD and is admitted to the hospital with a blood urea nitrogen (BUN) level of 68 mg/ml. An exercise elevation of BUN could result from?

Dehydration

Which organisms cause most UTIs?

Escherichia Coli

A 37yr old female patient is hospitalized with acute kidney injury (AKI). Which information will be MOST useful to the nurse in evaluating important in kidney function?

Glomerular filtration rate (GFR)

The nurse is caring for several older male patients who have problems with urinary disorders. Which patient is the best candidate for an external condom?

Has urge incontinence & functional incontinence related to a hip fracture

What is the action of urinary antimicrobial agents?

Have an antiseptic effect on the urine & the urinary tract

A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications?

I will need to increase protein and decrease sodium intake

How often is Fosfomycin (Monitor) usually when used in the treatment of UTIs?

In a one-time dose

A 72 yr old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention & elevated blood urea nitrogen (BUN) & creatinine levels. Which prescribed therapy should the nurse implement First?

Insert urethral catheter

A patient is complaining of moderate bladder pain & spams secondary to a UTI. Which drug would assist in relieving symptoms?

Phenazopyridine Hydrochloride (Pyridium)

A client with acute renal failure has a prescription for oral sodium polystyrene sulfonate. Which serum electrolyte value does the nurse recognize as the cause for this prescription?

Potassium 5.9 mEq/l

The nurse clarifies that serum potassium levels are determined before surgery to?

Prevent arrhythmias related to anesthesia

After the insertion of an arteriovenous graft (AVG) in the right forearm, a 54 yr old patient complains of pain & coldness of the right fingers. Which action should the nurse take?

Report the patient's symptoms to the HCP

What may become discolored by phenazopyridine (Pyridium) in addition to the urine?

Sclera

To help a patient control incontinence, which should the nurse recommended the patient avoid?

Spicy Foods

All of the following are precautions to be taken regarding the permanent hemodialysis access site except?

The Access side should be kept elevated above the heart level at the time of use(dialysis)

What assessment finding strongly that a client reduced volume of voided urine is due to an obstructive disorder such as an enlarged prostate gland?

The client feels a continued need to void

The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal? Select all that apply?

Turbidity-Clear straw colored Glucose

__________ is a toxic condition resulting from renal failure in which kidney function is compromised & urea is retained in the blood.

Uremia

All of the following are complications of Hemodialysis Except:

Urinary tract infection (UTI)

After undergoing prostate surgery, a patient is discharged on the medication Phenazopyridine Hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?

Urine will appear reddish orange