AI practice

A nurse is providing dietary teaching to a client who has chronic renal failure. Which of the following food choices by the client indicates an understanding of the teaching?

Grilled fish Protein choices, such as fresh fish or poultry, can minimize the risk of worsening chronic renal failure.

A nurse is assessing a client who was brought to the emergency department following a MVC. Which of the following findings is a manifestation of bladder drama?

Hematuria

A nurse is caring for a client who has manifestations of acute tubular necrosis following a kidney transplantation. Which of the following interventions should the nurse anticipate for this client?

Hemodialysis, biopsy, immunosuppression

A nurse is caring for a client who has chronic glomerulonephritis with oliguria. For which of the following electrolyte in balance is for the nurse monitor?

Hyperkalemia

A nurse is reviewing the laboratory report for a client who has chronic kidney disease. The nurse find the following laboratory results. Potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which finding is the priority for the nurse to report to the provider?

Hyperkalemia

A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the following pieces of information should the nurse include about perennial azotemia?

Interference with renal perfusion causes perennial azotemia.

A nurse is assessing a client who is post operative following a transurethral resection of the prostate and has continuous bladder irrigation. The nurse notes no drainage in the clients urinary bag over one hour. Which of the following actions should the nurse take?

Irrigate the indwelling urinary catheter with a syringe No drainage in the urinary bag indicates an obstruction. The nurse should gently irrigate the indwelling urinary catheter as prescribed to clear the obstruction and allow urine and irrigating fluid to drain

A nurse is teaching a client with chronic kidney disease about predialysis dietary recommendations. The nurse should recommend restricting the intake of which nutrient?

Protein Pre-dialysis protein restriction can help preserve some kidney function

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action?

Relieve the clients pain

A nurse is providing teaching to a client who is pre-operative prior to a transurethral resection of the prostate (TURP). Which of the following client statements indicates an understanding of the information?

"I will feel the urge to urinate following this procedure"

A nurse is providing teaching to a client who has a history of urinary tract infections. Which of the following client statement indicates the need for additional teaching?

"I will use a vaginal douche daily" The client should avoid vaginal dishes, bubble baths, and any substances that can increase the risk of UTIs.

A nurse is teaching a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make?

"avoid taking a blood pressure on the clients left arm" This can decrease blood flow and cause clotting

A nurse is providing teaching to a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include?

"consume 1000 mg of dietary calcium daily"

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make?

"expect to have pink tinged urine after this procedure" This procedure has a scope that is inserted into the urethra to diagnose or treat bladder problems. Following the procedure, pink tinged urine is expected

A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a reoccurrence?

"wipe from front to back after defecation"

A nurse is providing teaching to a client who is pre-operative for a renal biopsy. Which of the following statements should the nurse make?

"you will need to be on bed rest following the procedure" The client should maintain bed rest in a supine position with a back road for support for 2 to 24 hours following the procedure to reduce the risk of bleeding

The nurse is teaching a client about urinary tract infections. Which of the following manifestations should the nurse include?

Back pain Back pain and flank pain or manifestations of a UTI. Other manifestations include frequency, urgency, cloudy, and foul smelling urine

A nurse is assessing a client who is four hours post operative following a transurethral resection of the prostate and has an indwelling catheter in place. Which of the following findings should the nurse expect?

Blood tinged urine in the drainage bag

A nurse is providing dietary teaching to a client who has late stage chronic kidney disease. Which of the following nutrients should the nurse instructed the client to increase in her diet?

Calcium A client who has CKD can develop hypocalcemia due to the reduced production of active vitamin D which is needed for calcium absorption.

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a doll headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the clients electrolyte values

A nurse is assessing a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report to the provider immediately?

Cloudy effluent This indicates that the client is at a higher risk for peritonitis, a bacterial infection of the peritoneum.

A nurse is assessing a client who is post operative following a transurethral resection of the prostate. After the nurse discontinues the clients urinary catheter, which of the following findings should the nurse report to the provider

Decreased urine output This would indicate an obstruction to urine flow by a clot or a residual prostatic tissue and should be reported to the provider

A nurse is conducting dietary teaching with a client who has a history of renal calculi. Which of the following instructions should the nurse include in the teaching?

Drink 3.8 L (4 qt) water throughout the day This will keep urine diluted and decrease the risk of kidney stone formation

A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy. The nurse should identify that which of the following finding is the priority?

Dysrhythmias

A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider?

Potassium 3.0 mEq/L

A nurse is checking the laboratory values of a client who has chronic kidney disease. The nurse should expect elevations in which of the following values?

Potassium and magnesium

A nurse is assessing a client who is one week post operative following a living donor kidney transplant. Which of the following findings indicate the client is experiencing acute kidney rejection?

BP 160/90 A client who is experiencing rejection can have hypertension

A nurse is teaching a client who has chronic kidney disease. Which of the following instructions should the nurse include?

Limit fluid intake A client who has CKD should limit intake to prevent hypervolemia

A nurse is assessing a client who has acute kidney injury. According to the RIFLE classification system, which of the following findings indicates that the client has end-stage kidney disease?

No urine output without renal replacement therapy for more than three months Risk Injury Failure Loss End stage kidney disease

A nurse is planning care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following actions should the nurse include in the clients plan of care?

Offer the client a bedpan q2h. The nurse should encourage and assist the client to avoid every two hours while awake to promote bladder control.

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Peritonitis Peritonitis is an adverse effect of peritoneal dialysis. Prevention requires using sterile technique and frequently assessing the catheter exit site. The nurse should obtain cultures of the dialysate outflow if peritonitis is suspected

A nurse is teaching a newly licensed nurse about collecting a 24 hour urine specimen for creatinine clearance. Which of the following instructions should the nurse include?

Place signs in the bathroom as a reminder about the test in progress This will ensure that everyone saves the specimens appropriately throughout the test

A nurse is caring for a client who has just returned from the surgical suite following a right nephrectomy. Which of the following indicates that the client is meeting a successful short term goal following this procedure?

Urinary output is 35 to 50 mL/hr consistently Following a nephrectomy, the client should have a urine output of at least 30ml/hr consistently.

A nurse is caring for the client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?

Viscous urinary output with clots This may indicate arterial bleeding

A nurse is preparing a client who is scheduled for an intravenous pyelogram. Which of the following findings should the nurse report to the provider?

Vomiting and diarrhea for the last six hours These deplete the clients fluid volume, which results in dehydration that can cause renal failure following a procedure that uses contrast dye