Chapter 60 - Assessment of Renal/Urinary System
A nurse reviews the health history of a client with an oversecretion of renin. Which disorder would the nurse correlate with this assessment finding? a. Alzheimer disease b. Hypertension c. Diabetes mellitus d. Viral hepatitis
B
A patient had a renal scan. What is included in the postprocedural care for this patient? a. Administer laxatives to cleanse the bowel b. Encourage oral fluids to assist excretion of isotope c. Administer captopril (Capoten) to increase blood flow d. Insert a urinary catheter to measure urine output
B
A patient has sustained a minor kidney injury. Which structure must remain functional in order to form urine from blood? a. Medulla b. Nephron C. calyx d. capsule
B
A patient has undergone a kidney biopsy. what does the nurse monitor for in the patient related to this procedure? a. Nephrotoxicity b. Hemorrhage c. Urinary retention d. Hypertension
B
A patient is diagnosed with renal artery stenosis. Which sound does the nurse expect to hear by auscultation when a bruit is present in a renal artery? a. Quiet, pulsating sound b. Swishing sound c. Faint wheezing d. NO sound at all
B
A patient returns to the unit after a renal scan. Which instruction about the patient urine does the nurse give to the UAP caring for the patient? a. It is radioactive, so it should be handled with special biohazard precautions b. It does not place anyone at risk because of the small amount of radioactive material c. its radioactivity is dangerous only to those who are pregnant d. it is potentially dangerous if allowed to sit for prolonged periods in the command
B
Damage to which renal structure or tissues can change the actual production of urine? a. kidney parenchyma b. convoluted tubules c. calyces d. ureters
B
During the day, the nursing student is measuring urine output and observing for urine characteristics in a patient. Which abnormal finding is the most urgent, which must be reported to the supervising nurse? a. Specific gravity is decreased. b. Output is decreased. c. pH is decreased. d. Color has changed.
B
For which circumstance will the nurse select the male icon for a female client when performing a bladder scan? a. Female self identifies as a male b. Woman with history of hysterectomy c. Female who is 5 years post menopausal d. Woman with history of bladder cancer
B
In which circumstance is the regulatory role of aldosterone most important in order for the person to maintain homeostasis? a. person is having pain related to a kidney stone b. person has been hiking in the desert for several hours c. person experiences stress incontinence when coughing d. person experiences a burning sensation during urination
B
The RN is caring for a client who has just had a kidney biopsy. Which action does the nurse perform first? a Obtain blood urea nitrogen (BUN) and creatinine. b Position the client supine. c Administer pain medications. d Check urine for hematuria.
B
The charge nurse is making client assignments for the day shift. Which client is best to assign to an LPN/LVN? a Client who has just returned from having a kidney artery angioplasty b Client with polycystic kidney disease who is having a kidney ultrasound c Client who is going for a cystoscopy and cystourethroscopy d Client with glomerulonephritis who is having a kidney biopsy
B
The health care provider informs the nurse that there is a change in orders because the patient has a decrease in creatine clearance rate. what change does the nurse anticipate? a. fluid restriction b. reduction of drug dosage c. limitation on activity level d. modification of diet
B
The nurse is assessing a group of clients for their risk of kidney disease. Which racial/ethnic group is at the greatest risk as they age? a. Latino Americans b. African Americans c. Jewish Americans d. Asian Americans
B
The nurse is caring for a patient who has just undergone a cystoscopy. Which assessment finding necessitates an immediate intervention by the nurse? a. Back pain b. Bright red urine c. Urinary frequency d. Burning on urination
B
The nurse is caring for a patient with dehydration. Which laboratory test results does the nurse anticipate to see for this patient? a. BUN and creatinine ratio stay the same. b. BUN rises faster than creatinine level. c. Creatinine rises faster than BUN. d. BUN and creatinine have a direct relationship.
B
The nurse is interviewing a 35-year-old women who needs evaluation for a potential kidney problem. The woman reports she has been pregnant twice and has two healthy children. what would the nurse ask about health problems that occurred during pregnancy? a. "How much weight did you gain during the pregnancy? b. "Were you treated for gestational diabetes?" c. "Did both of your pregnancies go to full-term? d. "Did you have a urinary catheter inserted during labor?
B
The nurse is performing an assessment of the renal system. What is the first step in the assessment process? a. Percuss the lower abdomen; continue toward the umbilicus b. Observe the flank region for asymmetry or discoloration c. Listen for a bruit over each renal artery d. Lightly palpate the abdomen in all quadrants
B
The nurse is taking a history on a 55-year-old patient who denies any serious chronic health problems Which sudden onset sign/symptoms suggests possible kidney disease in this patient? a. Weakness b. Hypertension c. Confusion d. Dysrhythmia
B
The nurse is teaching a client how to provide a clean-catch urine specimen. Which client statement indicates that teaching was effective? a. "I will have to drink 2 L of fluid before providing the sample." b. "I'll start to urinate in the toilet, stop, and then urinate into the cup." c. "It is best to provide the sample while I am bathing." d."I must clean with the wipes and then urinate directly into the cup."
B
The nurse is teaching a client who needs a clean-catch urine specimen. What teaching will the nurse include?" a. Save all urine for 24 hours." b. "Do not touch the inside of the container." c. "Use the sponges to cleanse the urethra, and then initiate voiding directly into the cup." d. "You will receive an isotope injection, then I will collect your urine."
B
The nurse is teaching a patient scheduled for an ultrasonography. What preprocedural instruction does the nurse give the patient? a. void just before the test begins b. drink water to fill the bladder c. stop routine medications d have nothing to eat or drink after midnight
B
The nurse reads in the assessment note made by the advanced-practice nurse that the "left kidney cannot be palpated." How does the nurse interpret this notation? a. The left kidney is smaller than normal, which indicates CKD b. The left kidney is normally deeper and often cannot be palpated c. The palpation of kidneys should be repeated by another provider d. The patient is too obese for this type of examination
B
The nurse sees that an older patient has a blood osmolarity of 303 mOsm/L. Which additional assessment will the nurse make before notifying the helath care provider about the laboratory results? a. Patient's mental status b. Signs of dehydration c. Patient's temperature d. Odor of the urine
B
The nurse tells the patient that the health care provider recommends a fluid intake of at least 2 liters per day. The nurse then asks the patient to report on fluid intake over the past 24 hours to assess typical intake. The patient reports 15 ounces of coffee and 10 ounces of juice for breakfast; 10 ounces of skim milk for a mid morning snack, 12 ounces of protein shake for lunch, 1/2 liter of sports drink in the afternoon and 3 ounces of wine for dinner. After calculating the 24-hour fluid intake, what does the nurse tell the patient? a. Fluid consumptions should be increased by at least 2 more servings b. Fluid consumption is meeting the 2 liters/day recommendation c. Fluid consumption exceeds recommendation, therefore eliminate the wine d. Fluid consumption only includes liquids such as water, juice, or milk
B
Vitamin D is converted to its active form in the kidney. If this function fails, which electrolyte imbalance will occur? a. Hyperkalemia b. Hypocalcemia c. Hypernatremia d. Hypoglycemia
B
What is an advantage of a renal scan compared to a CT scan for diagnosing the perfusion, function, and structure of the kidneys? a. renal scan is more readily tolerated by elderly patients and small children b. Renal scan is preferred if the patient is allergic to iodine or has impaired kidney function c. renal scans are more likely to detect pathologic changes that CT scans do not detect d. renal scan requires less pre- and post procedural care than CT scan
B
What sound does the nurse expect to hear when listening over the renal artery of a client who has renal artery stenosis? a. Quiet, pulsating sound b. Swishing sound c. Occasional gurgling d. Faint wheezing
B
When patients have problems with kidneys or urinary tract, what is the most common symptoms that prompts them to seek medical attention? a. Change in the frequency or amount of urination b. Pain in flank or abdomen or pain when urinating c. Noticing a change in the color or odor of the urine d. Exposure to a nephrotoxic substance
B
Which action will the nurse include in post procedural care for a client who has a renal scan? a. Administer captopril to increase renal blood flow b. Encourage oral fluids to assist with extortion of the isotope c. Insert a urinary catheter to measure urine output d. Administer prescribed laxatives to cleanse the bowel
B
Which action will the nurse include in postprocedural care for the client who has a renal scan? A. Administer captopril to increase renal blood flow B. Encourage oral fluids to assist with excretion of the isotope C. Insert a urinary catheter to measure urine output D. Administer prescribed laxatives to cleanse the bowel
B
Which assessment maneuver does the nurse perform first when assessing the renal system at the same time as the abdomen? a Abdominal Percussion b Abdominal Auscultation c Abdominal Palpation d Renal Palpation
B
Which client assessment data is essential for the nurse to report to the health care provider before a renal scan is performed? A. Pink-tinged urine B. Reports pregnancy C. Reports claustrophobia D. History of an aneurysm clip
B
Which client does the nurse expect is most likely to exceed the renal threshold when he or she is noncompliant with the prescribed therapeutic regimen a. 45, with biliary obstruction b. 55, with type 2 diabetes c. 65, with recurrent kidney stones d. 75, with functional incontinence
B
Which patient is most likely to exceed the renal threshold if there is noncompliance with the prescribed therapeutic regimen? a. Has recurrent kidney stone formation b. has type 2 diabetes mellitus c. has functional urinary incontinence d. has biliary obstruction
B
Which percussion technique does the nurse use to assess a client who reports flank pain? a Place outstretched fingers over the flank area and percuss with the fingertips. b Place one hand with the palm down flat over the flank area and use the other fisted hand to thump the hand on the flank. c Place one hand with the palm up over the flank area and cup the other hand to percuss the hand on the flank. d Quickly tap the flank area with cupped hands.
B
Which personal action is most likely to cause the kidenys to produce and release erythropoietin? a. person moves to a low desert area where the humidity is very low b. person moves to a high-altitude area where atmospheric oxygen is low c. Person drinks an excessive amount of fluid that results in fluid overload d. person eats a large high-protein meal after a vigorous exercise workout
B
the nurse is caring for a patient who sustained major injuries in an automobile accident. Which blood pressure will result in compromised kidney function, in particular the glomerular filtration rate (GFR)? a. 150/70 mm Hg b. 70/40 mm Hg c. 80/60 mm Hg d. 140/80 mm Hg
B
what is the average urine output of a healthy adult for a 24-hour period? a. 500 to 1000 mL per day b. 1500 to 2000 mL per day c. 3000 to 5000 mL per day d. 5000 to 7000 mL per day
B
Ketones in the urine may indicate which occurrence or process? a. Increased glomerular membrane permeability b. Chronic kidney infection c. Body's use of fat for cellular energy d. Urinary tract infection
B/C
A nurse assesses clients on the medical-surgical unit. Which clients are at risk for kidney problems? (Select all that apply.) a. A 24-year-old pregnant woman prescribed prenatal vitamins b. A 32-year-old bodybuilder taking synthetic creatine supplements c. A 56-year-old who is taking metformin for diabetes mellitus d. A 68-year-old taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic back pain e. A 75-year-old with chronic obstructive pulmonary disease (COPD) who is prescribed an albuterol nebulizer
BCD
The nurse is admitting a client undergoing a CT scan with contrast. Which finding does the nurse report as a possible immediate hypersensitivity reaction? Select all that apply. A. Nausea B. Pruritus C. Urticaria D. Laryngeal stridor E. Flushing of the skin
BCDE
The nurse is teaching a class about kidney and urinary changes that occur with age. What teaching will the nurse include? (Select all that apply.) a. Drug clearance is often increased which produces more drug reactions. b. Glomerular filtration rate decreases which increases the risk for fluid overload. c. Urinary sphincters lose tone and weaken with age. d. Blood flow to the kidneys increases promoting nocturia. e. The ability to concentrate urine decreases which creates urgency.
BCE
Which substances will the nurse consider an abnormal finding in a client's routine urine sample? SATA a. Electrolytes b. RBCs c. Proteins d. Water e. Albumin f. Creatinine
BCE
Which questions will the nurse ask a. client with a BUN of 26 to identify non-renal factors that may contribute to this lab result? SATA a. Have you been trying to lose weight with severe calorie restrictions? b. Have you noticed any blood in your stool or vomited any blood? c. Have you been on a high protein diet or been drinking high protein drinks? d. Did you drink a lot of extra fluid before the blood sample? e. Are you taking or have you recently taken any steroid medication? f. Have you recently experienced any physical or emotional stress?
BCEF
What instructions would the nurse give an AP about the proper handling of a client's routine urinalysis specimen? a. Leave the specimen in the bathroom b. Ensure the container is tightly covered c. Place the sample in the sterile container d. Take the sample to the lab within 1 hour e. Put the sample in a plastic sample bag f. Refrigerate a sample that cannot be taken to the laboratory right away
BDEF
A 24-hour urine specimen is required from a patient. Which strategy is best to ensure that all the urine is collected for the full 24-hour period? a. Instruct the unlicensed assistive personnel (UAP) to collect all the urine. b. Put a bedpan or commode next to the bed as a reminder. c. Place a sign in the bathroom reminding everyone to save the urine. d. Verbally remind the patient about the test.
C
A client is going home after urography. Which instruction or precaution does the nurse teach this client? a. Avoid direct contact with the urine for 24 hours until the radioisotope clears. b. You may have some dribbling of urine for several weeks after this procedure. c. Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster. d. Your skin may become slightly yellow from the dye used in this procedure.
C
A client is in the emergency department for an inability to void and for bladder distention. What is most important for the nurse to provide to the client? a Increased oral fluids b IV fluids c Privacy d Health history forms
C
A nurse assesses a client with renal insufficiency and a low red blood cell count. The client asks, "Is my anemia related to my kidney problem?" How would the nurse respond? a. "Red blood cells produce erythropoietin, which increases blood flow to the kidneys." b. "Your anemia and kidney problem are related to inadequate vitamin D and a loss of bone density." c. "Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow." d. "Kidney insufficiency inhibits active transportation of red blood cells throughout the blood"
C
A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client states, "My pain has suddenly increased from a 3 to a 10 on a scale of 0-10." Which action would the nurse take first? a. Reposition the client on the operative side. b. Administer the prescribed opioid analgesic. c. Assess the client's pulse rate and blood pressure. d. Examine the color of the client's urine
C
A nurse obtains a sterile urine specimen from a client's Foley catheter. After applying a clamp to the drainage tubing distal to the injection port, which action should the nurse take next? a. Clamp another section of the tube to create a fixed sample section for retrieval. b. Insert a syringe into the injection port and aspirate the quantity of urine required. c. Clean the injection port cap of the drainage tubing with povidone-iodine solution. d. Withdraw 10 mL of urine and discard it; then withdraw a fresh sample of urine.
C
A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/kg (1200 mmol/kg). Which action would the nurse take? a. Contact the primary health care provider to recommend a low-sodium diet. b. Prepare to administer an intravenous diuretic. c. Encourage the client to drink more fluids. d. Obtain a suction device and implement seizure precautions.
C
A nurse teaches a client who is recovering from a urography. Which instruction should the nurse include in this client's discharge teaching? a. "Avoid direct contact with your urine for 24 hours until the radioisotope clears." b. "You may have some dribbling of urine for several weeks after this procedure." c. "Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster." d. "Your skin may become slightly yellow from the dye used in this procedure."
C
A patient has a urinalysis ordered. When is the best time for the nurse to collect the specimen? a. In the evening b. After a meal c. In the morning d. After a fluid bolus
C
In addition to kidney disease, which patient condition causes the BUN to rise above the normal range? a. Anemia b. Asthma c. Infection d. Malnutrition
C
Several patients are scheduled for testing to diagnose potential kidney problems. Which test requires a patient to have a urinary catheter inserted before the test? a. Urine stream testing b. Computed tomography c. Cystography d. Renal scan
C
The community health nurse is talking to a group of African-American adults about renal health. The nurse encourages the participants to have which type of yearly examination to screen for kidney problems a. Kidney ultrasound b. Serum creatinine and blood urea nitrogen c. Urinalysis and microalbuminuria d. 24-hour urine collection
C
The nurse and nutritionist are evaluating the diet and nutritional therapies for a patient with kidney problems. Blood urea nitrogen (BUN) levels for this patient are tracked because of the direct relationship to the intake and metabolism of which substance? a. Lipids b. Carbohydrates c. Protein d. Fluids
C
The nurse is determining whether a patient has a history of hypertension because of the potential for kidney problems. Which question is best to elicit this information? a. "Do you have high blood pressure?" b. "Do you take any blood pressure medications?" c. "Have you ever been told that your blood pressure was high?" d. "When was the last time you had your blood pressure checked"
C
The nurse is palpating a client's kidneys. The client's right kidney is easily palpated, but the nurse cannot palpate the left kidney. What is the nurse's interpretation of this finding? a The client is at increased risk for kidney impairment. b The problem involves the left kidney. c Both kidneys are in the normal position. d The problem involves the right kidney.
C
The nurse is planning the care for several patients who are undergoing diagnostic testing. Which patient is likely to need the most time for postprocedural care? a will have a kidney, ureter, and bladder x-ray b. Needs a kidney ultrasound c. Will have a cystoscopy d. Needs urine for culture and sensitivity
C
The nurse is preparing to obtain a sterile urine specimen from a client with a Foley catheter. What technique will the nurse use? a. Disconnect the Foley catheter from the drainage tube and collect urine directly from the Foley. b. Use a sterile syringe to withdraw urine from the urine collection bag c. .Clamp the tubing, attach a syringe to the specimen, and withdraw at least 5 mL of urine. d. Remove the existing catheter and obtain a sample during the process of inserting a new Foley.
C
The nurse is taking a nutritional history on a patient. The patient states, "I really don't drink as much water as I should." What is the nurses best response? a. "We should probably all drink more water than we do." b. "Its an easy thing to forget; just try to remember to drink more." c. "What would encourage you to drink the recommneded 2 literes per day?" d. "Id like you to read this brochure about kidney health and fluids."
C
The nurse is teaching a client how to provide a clean-catch urine specimen. Which statement by the client indicates that teaching was effective? a "I must clean with the wipes and then urinate directly into the cup." b "I will have to drink 2 liters of fluid before providing the sample." c "I'll start to urinate in the toilet, stop, and then urinate into the cup." d "It is best to provide the sample while I am bathing."
C
The nurse visualizes blood clots in a client's urinary catheter after a cystoscopy. What nursing intervention does the nurse perform first? a Administer heparin intravenously. b Remove the urinary catheter. c Notify the health care provider. d Irrigate the catheter with sterile saline.
C
What does an increase in the ratio of BUN to serum creatinine indicate? a. Highly suggestive of kidney dysfunction b. Definitive for kidney infection c. Suggests kidney factors causing an elevation in BUN d. Suggests non-kidney factors causing an elevation in serum creatinine.
C
What is the priority nursing assessment for a client who has undergone a kidney biopsy? a. Monitor for urinary retention b. Assess for onset of hypotension c. Perform frequent checks for hemorrhage d. Observe for signs of nephrotoxicity
C
When a client with diabetes returns to the medical unit after a computed tomography (CT) scan with contrast dye, all of these interventions are prescribed. Which intervention does the nurse implement first? a Give lispro (Humalog) insulin, 12 units subcutaneously. b Request a breakfast tray for the client. c Infuse 0.45% normal saline at 125 mL/hr. d Administer captopril (Capoten).
C
When a client's kidney hormonal function is not working properly, which condition does the nurse expect to occur? a. Leukemia b. Thrombocytopenia c. Anemia d. Neutropenia
C
Which OTC product will the nurse further explore with a client for potential impact on kidney function a. Mouthwash with alcohol b. Vitamin C c. Acetaminophen d. Fiber supplement
C
Which assessment will the nurse complete before notifying the HCP about an older client's blood osmolarity of 313? a. Checking lungs for respiratory status b. Assessing for any discomfort or pain c. Looking for sings of dehydration d. Smelling urine for odor and looking for particles
C
Which client does the nurse expect is most likely to produce a urinalysis with a specific gravity of 1.004? a. Client with hypovolemia due to blood loss b. Client who has dehydration secondary to vomiting c. Client with SIADH d. Client who is prescribed the diuretic medication furosemide every day
C
Which diagnostic test incorpartes contrast dye, but does not place a patient at risk for nephrotoxicity? a. renal scan b. Renal angiogrpahy c. Voiding cystourethrogram d. Computed tomography
C
Which instruction will the nurse give the AP about when it is best to collect a client' urinalysis sample? a. In evening before bedtime b. An hour after any meal c. With the first morning void d. After drinking two full glasses of water
C
Which is the best technique for the nurse to use when assessing a client for bladder distention? a. Use one hand to gently depress the bladder as the client takes a deep breath, then percuss as the client slowly exhales b. Place one hand under the client's back and palpate with the other hand over the bladder, percussing the lower abdomen until tympanic sounds are no longer heard c. Gently palpate the outline of the bladder and percuss the lower abdomen toward the umbilicus until dull sounds are no longer produced d. Locate the symphysis pubis, gently palpate for outline of the bladder, then auscultate for bowel sounds in the lower abdomen
C
Which is the result of stimulation of erythropoietin production in the kidney tissue? a Increased blood flow to the kidney b Inhibition of vitamin D and loss of bone density c Increased bone marrow production of red blood cells d Inhibition of active transport of sodium and hyponatremia
C
Which patients narrative describes the symptoms of dysuria? a. "I have to pee all the time." b. "I have to wait before the pee starts." c. "It burns when I pee." d. "It feels like I am going to pee in my pants."
C
Which problem or complication does the nurse suspect when a client with chronic kidney disease develops anorexia, nausea and vomiting, muscle cramping, and priorities? a. Client has oliguria b. Client has anuria c. Client has uremia d. Client has azotemia
C
A nursing student is caring for a patient who has been diagnosed with nephritis. The nursing student asks the nurse preceptor what the difference is between nephritis and nephrosis. What is the nurse preceptor's best response? 1 "Nephritis is the inflammation of the kidney and nephrosis is the degeneration of the kidney." 2 "Nephrosis is the inflammation of the kidney and nephritis is the degeneration of the kidney." 3 "There are no differences between nephritis and nephrosis. These terms may be used interchangeably." 4 "There are only minor differences between nephritis and nephrosis. These terms may be used interchangeably."
1
The nurse is assessing a patient at the bedside using a bladder scanner. What is the purpose of this examination? 1 Measures post-void residual urine 2 Evaluates kidney blood flow 3 Detects tumors and cysts 4 Assesses for obstruction
1
The urinalysis report of a patient reveals high specific gravity. What can be the probable cause of this finding? 1 Dehydration 2 High fluid intake 3 Low vasopressin level 4 High renal blood flow
1
While reviewing the urinalysis report of a patient, the nurse suspects that the patient has a urinary tract infection. Which findings support the nurse's conclusion? 1 Presence of nitrites 2 Presence of crystals 3 Presence of ketones 4 Presence of red blood cells
1
What urinary changes does the nurse expect in a patient with an enlarged prostate? 1 Decreased bladder capacity 2 Difficulty in starting the urine stream 3 Uncontrollable need to urinate 4 Urinary incontinence
2
Which laboratory test is the best indicator of kidney function? 1 Blood urea nitrogen (BUN) 2 Creatinine 3 Aspartate aminotransferase (AST) 4 Alkaline phosphatase
2
A nurse is admitting an older adult patient to the medical surgical floor and notes that the patient has a long list of current medications. What age-related physiological changes does the nurse recognize as contributing factors for the risk of delayed drug clearance in this patient? Select all that apply. 1 Kidney mass increases with age. 2 Kidney mass decreases with age. 3 Blood flow to the kidney decreases with age. 4 The glomerular filtration rate (GFR) increases with age. 5 The glomerular filtration rate (GFR) decreases with age.
235
A nurse is providing discharge instructions for a patient with acute kidney failure. What question by the nurse best assesses the patient's understanding of the condition? 1 "What medications did the doctor prescribe?" 2 "Do you understand what condition you have?" 3 "Can you tell me what happens with your condition?" 4 "Can you tell me if you are allergic to any medications?"
3
What aspect of renal function is most important to assess? 1 Producing erythropoietin 2 Regulating the blood pressure 3 Maintaining body fluid volume 4 Converting vitamin D into an active form
3
Which assessment finding alarms the nurse immediately after a patient returns from the operating room for cystoscopy performed under conscious sedation? 1 Pink-tinged urine 2 Urinary frequency 3 Temperature of 100.8° F 4 Lethargy
3
Which test is useful to estimate glomerular filtration rate (GFR)? 1 Radiography 2 Ultrasonography 3 Nuclear renal scan 4 Magnetic resonance imaging
3
A nurse is caring for a patient who is being treated for acute kidney failure. What response made by the nurse is the best way to assess the patient's history of hypertension? 1 "Do you have high blood pressure?" 2 "Do you take high blood pressure medication?" 3 "Do you monitor your blood pressure at home?" 4 "Have you ever been told your blood pressure is high?"
4
A patient who underwent a cystoscopy to remove an enlarged prostate gland has an indwelling catheter. What action does the nurse take? 1 Tell the patient to expect urinary frequency. 2 Tell the patient to expect blood clots in the urine. 3 Ask the patient to avoid oral fluids. 4 Report any fever to the health care provider.
4
What does the nurse expect the health care provider to prescribe for a patient before a percutaneous kidney biopsy? 1 Dialysis 2 Blood transfusion 3 Electromyography 4 Coagulation tests
4
What finding in a patient's urinalysis does the nurse identify with early stage kidney disease? 1 Nitrites 2 Sulfates 3 Epithelial cells 4 Microalbumin
4
When planning an assessment of the urethra, what does the nurse do first? 1 Examine the meatus. 2 Note any unusual discharge. 3 Record the presence of abnormalities. 4 Don gloves.
4
Which finding in a patient's kidney, ureter, and bladder (KUB) x-ray indicates an abnormality? 1 The left kidney is slightly longer than the right kidney. 2 The right kidney is slightly broader than the left kidney. 3 The kidneys are located on either side of the spine. 4 The left kidney is much larger than the right kidney
4
Which parameter would assess acid-base balance in a patient? 1 Sodium level 2 Calcium level 3 Potassium level 4 Bicarbonate level
4
. A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first? a. Contact the provider and recommend discontinuing the metformin. b. Keep the client NPO for at least 6 hours prior to the examination. c. Check the client's capillary artery blood glucose and administer prescribed insulin. d. Administer intravenous fluids to dilute and increase the excretion of dye.
A
A client had a computed tomography (CT) scan with contrast dye 8 hours ago. Which nursing intervention is the priority for this client? a. Promoting fluid intake b. Medicating for pain c. Monitoring for hematuria d. Maintaining bedrest
A
A client has returned from a captopril renal scan. Which teaching does the nurse provide when the client returns? a. "Arise slowly and call for assistance when ambulating." b. "I must measure your intake and output." c. "We must save your urine because it is radioactive." d. "I must attach you to this cardiac monitor."
A
A client is scheduled for a cystoscopy later this morning. The consent form is not signed, and the client has not had any preoperative medication. The nurse notes that the health care provider (HCP) visited the client the day before. What action will the nurse take? a. Notifies the department and the HCP. b. Asks the client's spouse to sign the form. c. Cancels the procedure. d. Asks the client to sign the informed consent.
A
A client scheduled to have intravenous urography has diabetes and is taking the antidiabetic agent metformin (Glucophage). What does the nurse tell this client? a. Call your diabetes doctor and tell him/her that you are having an intravenous urogram performed using dye. b. Don't take your metformin the morning of the test b/c you're not going to be eating anything and you could become hypoglycemic. c. You must start on an antibiotic before this test because your risk of infection is greater as a result of your diabetes. d. You must take your metformin immediately before the test is to be performed because the IV fluid & dye contain significant amounts of sugar.
A
A client was admitted for a myocardial infarction and cardiogenic shock. Two days later, which laboratory test results does the nurse expect to see? a Blood urea nitrogen (BUN) of 52 mg/dL b Creatinine of 2.3 mg/dL c BUN of 10 mg/dL d BUN-Creatinine ratio of 8:1
A
A client with these assessment data is preparing to undergo a computed tomography scan with contrast:Physical Assessment DX Findings Medications Flank pain Dysuria Bilateral knee pain BUN 54 mg/dL Creatinine 2.4 mg/dL Calcium 8.5 mg/dL Captopril Metformin Acetylcysteine Which medication does the nurse plan to administer before the procedure? a. Acetylcysteine (Mucosil) b Metformin (Glucophage) c Captopril (Capoten) d Acetaminophen (Tylenol)
A
A client's urinalysis results show a protein level of 1.8 mg/dL. Which action by the nurse is best? a Inform the health care provider b Ask the client about his or her protein intake c Obtain the client's weight d Document the finding in the char
A
A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first? a. Assess the client's dietary habits. b. Inquire about the use of nonsteroidal anti-inflammatory drugs (NSAIDs). c. Hold the client's metformin (Glucophage). d. Contact the health care provider immediately.
A
A nurse contacts the primary health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen(BUN) of 35 mg/dL (12.5 mmol/L) and a serum creatinine of 1.0 mg/dL (88.4 mcmol/L). What collaborative care measure wouldthe nurse recommend? a. Intravenous fluids b. Hemodialysis c. Fluid restriction d. Urine culture and sensitivity
A
A nurse reviews laboratory results for a client who was admitted for a myocardial infarction and cardiogenic shock 2 days ago. Which laboratory test result should the nurse expect to find? a. Blood urea nitrogen (BUN) of 52 mg/dL b. Creatinine of 2.3 mg/dL c. BUN of 10 mg/dL d. BUN/creatinine ratio of 8:1
A
A patient is scheduled for a CT with iodinated contrast medium. Which medication is discontinued 24 hours before the procedure and for at least 48 hours until kidney function has been reevaluated? a. Glucophage (Metformin) b. Morphine (MS Contin) c. Furosemide (Lasix) d. Oral acetylcysteine (Mucomyst)
A
An older adult woman who reports a change in bladder function says, "I feel like a child who sometimes pees her pants." What is the best nursing response? a. "Have you tried using the toilet every couple of hours?" b. "How does that make you feel?" c. "We can fix that." d. "That happens when we get older."
A
For which client does the nurse expect increased production of renin? a. 35 yo who sustains significant blood loss b. 45 yo diagnosed with hypertension c. 55 yo who ingests and excessive amount of fluid d. 65 yo who gets up 2-3 times nightly to void
A
Impairment in the thirst mechanisms associated with aging makes an older adult patient more vulnerable to which disorder? a. Hypernatremia b. Hypocalcemia c. Hyperkalemia d. Hypoglycemia
A
Limiting fluid intake would have what effect on urine? a. Increases the concentration of urine b. Makes the urine less irritating c. Decreases the risk for urine infection d. decreases the pH of urine
A
The charge nurse is making client assignments for the day shift. Which client is best to assign to an LPN/LVN? a. Client with polycystic kidney disease who is having a kidney ultrasound. b. Client with glomerulonephritis who is having a kidney biopsy. c. Client who is going for a cystoscopy and cystourethroscopy. d. Client who has just returned from having a kidney artery angioplasty.
A
The nurse delegates completing a bladder scan to assistive personnel (AP). Which action by the AP indicates that the nurse must provide additional instructions when delegating this task? a. Selecting the female icon for all female patients and male icon for all male patients b. Telling the client, "This test measures the amount of urine in your bladder." c. Applying ultrasound gel to the scanning head and removing it when finished d. Taking at least two readings using the aiming icon to place the scanning head
A
The nurse hears in report that the patient is having renal colic pain. When performing the physical assessment of this patient during a severe pain episode, what additional sign/symptoms may the nurse expect to observe? a. Diaphoresis b. Redness over the flank c. Jaundice d. Bruit in the renal arterY
A
The nurse is assessing a patient for bladder distention. What technique does the nurse use? a. Gently palpate for the outline of the bladder, percuss the lower abdomen, continue toward the umbilicus until dull sounds are no longer produced b. gently palpate for the outline of the bladder, auscultate for sounds in the lower abdomen c. Place one hand under the back and palpate with the other hand over the bladder, percuss the lower abdomen until tympanic sounds are no longer produced. d. Use the hand to depress the bladder as the patient takes a deep breath, then percuss
A
The nurse is caring for a client with uremia. What assessment data will the nurse anticipate? a. Nausea and vomiting b. Insomnia c. Cyanosis of the skin d. Tenderness at the costovertebral angle (CVA)
A
The nurse is caring for client who has just returned from the operating room for cystoscopy performed under conscious sedation. Which assessment finding requires immediate nursing action? a. Temperature of 100.8° F (38.2° C) b. Lethargy c. Pink-tinged urine d. Urinary frequency
A
The nurse is reviewing a client's laboratory test results and notes a blood urea nitrogen (BUN) of 35 mg/dL and a creatinine of 1.0 mg/dL. What new order does the nurse anticipate? a Increase the client's IV fluids b Prepare the client for dialysis c Place the client on a fluid restriction d Obtain urine for culture and sensitivity
A
The nurse is reviewing the medical record for a client with polycystic kidney disease who is scheduled for computed tomographic angiography with contrast:History and Physical Assessment:Polycystic kidney disease, Diabetes, Hysterectomy, Abdomen distended, Negative edema Medications: Glyburide Metformin Synthroid Diagnostic findings:BUN 26 mg/dL (9.2 mmol/L)Creatinine 1.0 mg/dL (77 umol/L)HbA1c 6.9%Glucose 132 mg/dL (7.3 mmol/L). Which nursing intervention is essential? a. Hold the metformin 24 hours before and on the day of the procedure. b. Notify the provider regarding blood glucose and glycosylated hemoglobin (HbA1c) values. c. Report the blood urea nitrogen (BUN) and creatinine. d. Obtain a thyroid-stimulating hormone (TSH) level.
A
The nurse is reviewing the results of a patient ultrasound of the kidney. The report reveals an enlarged kidney which suggests which possible problem? a. Polycystic kidney b. KIDNEY Infection c. Renal carcinoma d. Chronic kidney disease
A
The nurse performs a dipstick urine test for a patient being evaluated for kidney problems. Glucose is present in the urine. How does the nurse interpret this result? a. Blood glucose level is greater than 220 mg.dL. b. The kidneys are failing to filter any glucose. c. The patient is at risk for hypoglycemia. d. The renal threshold has not been exceeded.
A
What does the BUN test measure? a. Kidney excretion of urea nitrogen b. Urine osmolality c. Creatinine clearance d. Urine output
A
What is the most common symptoms that prompts clients to seek medical attention for problems with the kidneys or urinary tract? a. Pain in flank or abdomen, or pain when urinating b. Change in frequency or amount of urination c. Exposure to one or more nephrotoxic substances d. Change in color, clarity, or order of the urine
A
When performing bladder scanning to detect residual urine in a female client, the nurse must first assess which factor? a. History of hysterectomy b. Abdominal girth c. Hematuria d. Presence of urinary infection
A
Which age-related change can cause nocturia? a Decreased ability to concentrate urine b Decreased production of antidiuretic hormone c Increased production of erythropoietin d Increased secretion of aldosterone
A
Which annual examinations to screen for kidney problems would the nurse recommend for an AA client? a. Urinalysis, microalbuminuria, and serum creatinine b. Kidney ultrasound, BUN, and serum glucose c. Serum creatinine, BUN, and renal scan d. 24 hour urine collection, BUN, and urinalysis
A
Which client assessment data indicates to the nurse that the client has a potential need for fluids? a. Increased blood urea nitrogen b. Increased creatinine c. Decreased sodium d. Pale-colored urine
A
Which client being managed for dehydration does the nurse consider at greatest risk for possible reduced kidney function? A. An 80-year-old man who has benign prostatic hyperplasia B. A 62-year-old woman with a known allergy to contrast media C. A 48-year-old woman with established urinary incontinence D. A 45-year-old man receiving oral and intravenous fluid therapy
A
Which laboratory test will the nurse assess as the best indicator of kidney function? a. Creatinine b. Blood urea nitrogen (BUN) c. Aspartate aminotransferase (AST) d. Alkaline phosphatase
A
Which patient is most likely to have a decreased calcium level? a. Patient with kidney disease b. Patient with cystitis c. Patient with a Foley catheter d. Patient with urinary retention
A
Which patient is most likely to produce urine with a specific gravity of less than 1.005? a. Takes diuretic medication everyday b. Has dehydration secondary to vomiting c. Is hypovolemic due to blood loss d. Has syndrome of inappropriate antidiuretic hormone
A
Which priority teaching will the nurse provide to prevent harm fora client after a renal biopsy? a. Avoid lifting heavy objects for 1-2 weeks b. Do not go up or down stairs for at least 10 days c. Avoid light house work including cooking and washing dishes d. Stay out of the sun until after your follow up appointment
A
Which renal change associated with aging does the nurse expect an older adult patient to report a. Nocturnal polyuria b. Micturition c. Hematuria d. Dysuria
A
Which urinary assessment information for a client indicates the potential need for increased fluids? a Increased blood urea nitrogen b Increased creatinine c Pale-colored urine d Decreased sodium
A
Which urine characteristic listed on a urinalysis report arouses the nurse's suspicion of a problem in the urinary tract? a. Coudiness b. Straw color c. Ammonia odor d. One cast per high-powered field
A
an elderly patient has been in bed for several days after a fall. The nurse encourages ambulation to stimulate the movement of urine through the ureter by what phenomenon? a. Peristalsis b. Gravity c. Pelvic pressure d. Back flow
A
nurse reviews the allergy list of a client who is scheduled for an intravenous urography. Which client allergy should alert the nurse to urgently contact the health care provider? a. Seafood b. Penicillin c. Bee stings d. Red food dye
A
the nurse is talking to a group of older women about changes in the urinary system related to aging. what symptoms is likely to be the common concern for this group? a. Incontinence b. Hematuria c. Retention d. Dysuria
A
The nurse is caring for the following clients who are scheduled for a computed tomography (CT) scan with contrast. For which clients will the nurse communicate safety concerns to the health care provider (HCP)? (Select all that apply.) a. Client who took metformin 4 hours ago b. Client with an allergy to shrimp c. Client who requests morphine sulfate every 3 hours d. Client with a history of asthma e. Client with a blood urea nitrogen of 62 mg/dL (22.1 mmol/L) and a creatinine of 2.0 mg/dL (177 umol/L)
ABCE
Which equipment and actions will the nurse use to assess a female client's urethra prior to inserting a urinary catheter? SATA a. Ensure a good lighting source is available b. Record any discharge from the meatus c. Assess for lesions or rashes and record d. Remind the client to wipe from back to front e. Ask about discomfort with urination f. Wear will fitting gloves during the assessment
ABCEF
A nurse reviews a client's laboratory results. Which results from the client's urinalysis would the nurse identify as normal? (Select all that apply.) a. pH: 6 b. Specific gravity: 1.015 c. Protein: 1.2 mg/dL d. Glucose: negative e. Nitrate: small f. Leukocyte esterase: positive
ABD
For which clients scheduled for a computed tomography (CT) scan with contrast does the nurse communicate safety concerns to the health care provider? (Select all that apply.) a Client with an allergy to shrimp b Client with a history of asthma c Client who requests morphine sulfate every 3 hours d Client with a blood urea nitrogen of 62 mg/dL and a creatinine of 2.0 mg/dL e Client who took metformin (Glucophage) 4 hours ago
ABDE
When the nurse provides care for a client with chronic kidney failure what assessments will be made that support a finding of fluid overload? SATA a. Weigh the client and compare to baseline b. Compare current blood pressure to baseline c. Measure for residual urine with a bladder scanner d. Auscultate the lung fields to determine if fluid is present e. Check for pedal and periorbital swelling f. Obtain a sterile urine specimen by catheterization
ABDE
A nurse prepares a client for a percutaneous kidney biopsy. What actions should the nurse take prior to this procedure? (Select all that apply.) a. Keep the client NPO for 4 to 6 hours. b. Review coagulation study results. c. Maintain strict bedrest in a supine position. d. Assess for blood in the client's urine. e. Administer client's antihypertensive medications.
ABE
A nurse plans care for an older adult patient. Which interventions should the nurse include in this client's plan of care to promote kidney health? (Select all that apply.) a. Ensure adequate fluid intake. b. Leave the bathroom light on at night. c. Encourage use of the toilet every 6 hours. d. Delegate bladder training instructions to the assistive personnel (AP). e. Provide thorough perineal care after each voiding. f. Assess for urinary retention and urinary tract infection
ABEF
The nurse is preparing a client for a percutaneous kidney biopsy. Which laboratory tests results would the nurse review prior to the procedure? (Select all that apply.) a. Hemoglobin b. Hematocrit c. Sodium d. Potassium e. Platelet count f. Prothrombin time
ABEF
When obtaining a health history and physical assessment from a 68-year-old male client who has a history of an enlarged prostate, which finding does the nurse consider significant? Select all that apply. A. Distended bladder B. Absence of a bruit C. Frequency of urination D. Dribbling urine after voiding E. Chemical exposure in the workplace
ACD
Which lab values will the nurse monitor as specific indicators of a client's kidney function? SATA a. Creatinine b. BUN c. Cystatin-C d. Blood osmolarity e. BUN/creatinine ratio f. WBC count
ACDE
The nurse is using a bladder scanner on a female client to estimate bladder volume. Which action will the nurse take? (Select all that apply.) a. Aim the scanner toward the client's coccyx to visualize the bladder. b. Select the female icon since the client has had a hysterectomy. c. Two readings should be completed for best accuracy. d. Gently insert the scanner probe into the vagina. e. Place a gel pad over the client's pubic area.
ACE
Which nursing actions will the nurse take to provide safe care and prevent harm for an older client experiencing increased nocturia? Select all that apply a. Ensure adequate lighting and hazard free environment b. Use caution administering nephrotoxic drugs c. Ensure the availability of a bedside toilet, bed pain, or urinal if needed d. Encourage the client to use the toilet every 2 hours e. Discourage excessive fluid intake for 2-4 hours before the client goes to bed f. Respond as soon as possible to the client's indication of the need to void
ACEF
A nurse assesses a client recovering from a cystoscopy. Which assessment findings would alert the nurse to urgently contact the primary health care provider? (Select all that apply.) a. Decrease in urine output b. Tolerating oral fluids c. Prescription for metformin d. Blood clots present in the urine e. Burning sensation when urinating
AD
A nurse cares for a client who has elevated levels of antidiuretic hormone (ADH). Which disorder should the nurse identify as a trigger for the release of this hormone? a. Pneumonia b. Dehydration c. Renal failure d. Edema
B
A nurse cares for a client with a urine specific gravity of 1.018. Which action should the nurse take? a. Evaluate the client's intake and output for the past 24 hours. b. Document the finding in the chart and continue to monitor. c. Obtain a specimen for a urine culture and sensitivity. d. Encourage the client to drink more fluids, especially water.
B
A nurse is reviewing the laboratory findings for urinalysis (UA) of a client. Which of the following findings indicates a UTI? A. Positive for casts B. Positive leukocyte esterase C. Positive for epithelial cells D. Positive for crystals
B
A nurse reviews a client's laboratory results. Which results from the client's urinalysis would the nurse recognize as abnormal? a. pH of 5.6 b. Ketone bodies present c. Specific gravity of 1.020 d. Clear and yellow color
B
A client had a computed tomography (CT) scan with contrast dye 8 hours ago. Which nursing intervention is the priority for this client? a Maintaining bedrest b Medicating for pain c Monitoring for hematuria d Promoting fluid intake
D
A client is scheduled to have renography (kidney scan). The client voices concern about discomfort during the procedure. Which is the nurse's best response? a. "Before the test, you will be given a sedative to reduce any pain." b. "A local anesthetic agent will be used, so you won't feel any pain." c. "No more discomfort is felt with the scan than with an ordinary x-ray." d. "The only pain will occur when you have your IV line started."
D
A healthy female patient has no physical symptoms, but urinalysis results reveal a protein level of >0.8 mg/dL and a white blood cell count of 4 per high-powered field. What question would the nurse ask the patient in order to assist the health care provider to correctly interpreting the urinalysis results? a. "Have you ever been treated for a urinary tract infection?" b. "Do you have a family history of cardiac or biliary disease?" c. "Are you sexually active and if so, do you use condoms?" d. "Have you recently performed any strenuous exercise?"
D
A nurse cares for a client who is having trouble voiding. The client states, "I cannot urinate in public places." How should the nurse respond? a. "I will turn on the faucet in the bathroom to help stimulate your urination." b. "I can recommend a prescription for a diuretic to improve your urine output." c. "I'll move you to a room with a private bathroom to increase your comfort." d. "I will close the curtain to provide you with as much privacy as possible."
D
A nurse cares for a client with a urine specific gravity of 1.040. What action would the nurse take? a. Obtain a urine culture and sensitivity. b. Place the client on restricted fluids. c. Assess the client's creatinine level. d. Increase the client's fluid intake.
D
A nurse is caring for a client who has a urinary tract infection. Which of the following is the priority intervention by the nurse? A. Offer a warm sitz bath. B. Recommend drinking cranberry juice. C. Encourage increased fluids. D. Administer an antibiotic.
D
A nurse reviews the urinalysis of a client and notes the presence of glucose. What action would the nurse take? a. Document findings and continue to monitor the client. b. Contact the primary health care provider and recommend a 24-hour urine test. c. Review the client's recent dietary selections over 3 days. d. Perform a finger stick blood glucose assessment
D
A patient appears very uncomfortable with the nurses questions about urinary functions and patterns. what is the best technique for the nurse to use to elicit relevant information and decrease the patients discomfort ? a. Defer the questions until a later time b. Direct the questions toward a family member c. Use anatomic or medical terminology d. Use the patients own terminology
D
A patient is scheduled for retrograde urethrography. Postprocedural care is similar to postprocedural care given for which test? a. Ultrasonography b. Computed tomography c. Renal angiogram d. Cystoscopy
D
A patient with chronic kidney disease (CKD) develops anorexia nausea and vomiting, muscle cramping, and pruritus. How does the nurse interpret these findings? a. Oliguria b. Azotemia c. Anuria d. Uremia
D
One of the nurse's roles is talking to adult clients about urinary and sexual hygiene. Which words does the nurse use when referring to the client's reproductive body parts? a Children's terms that are easily understood b Slang words and terms that are heard "socially" c Technical and medical terminology d Words that the client uses
D
The nurse assesses blood clots in a client's urinary catheter after a cystoscopy. What initial nursing intervention is appropriate? a. Administer heparin intravenously. b. Remove the urinary catheter. c. Irrigate the catheter with sterile saline. d. Notify the health care provider (HCP).
D
The nurse is assisting an inexperienced health care provider to assess a patient who has an aneurysm. The nurse would intervene if the provider performed which action? a. Inspected the flank for bruising or redness b. listened for a bruit over the renal artery c. Auscultated the abdomen for bowel sounds d. Palapated deeply to locate masses or tenderness
D
Two hours after a closed percutaneous kidney biopsy, the client reports a dramatic increase in pain. What is the nurse's best first action? a Administer the prescribed opioid analgesic. b Check the Foley catheter for kinks. c Reposition the client on the operative side. d Assess the pulse rate and blood pressure.
D
What procedural instruction will the nurse provide for a client scheduled for an ultrasonography? a. Empty your bladder just before the test begins b. Stop taking your routine medications 24 hours before the test c. You must have nothing to eat or drink after midnight before the test d. Drink 500-100 ml of water 2-3 hr before the tes
D
What question does the nurse ask to help interpret the results when a healthy adult client's urinalysis reveals a protein level of 0.9 mg/dL? a. Have you ever been treated for a UTI? b. Are you sexually active, and if so do you use condoms? c. Do you have a family history of cardiac or biliary disease? d. Have you recently performed any strenuous exercise?
D
When a client with diabetes returns to the medical unit after a computed tomography (CT) scan with contrast dye, all of these interventions are prescribed. Which intervention will the nurse implement first? a. Administer captopril. b. Request a breakfast tray for the client. c. Administer lispro (Humalog) insulin, 10 units subcutaneously. d. Infuse 0.45% normal saline at 125 mL/hr.
D
Which abnormal finding would be associated with chronic kidney disease? a. Hematuria b. Pus in the urine c. Blood at the urethral meatus d. Decreased urine specific gravity
D
Which blood pressure reading does the nurse expect will result in compromised kidney function for a client who sustained major injuries in the automobile accident? a. 160/80 b. 140/100 c. 80/60 d. 68/40
D
Which client will the nurse encourage to consume 2 to 3 L of fluid each day? a. Client with heart failure b. Client with chronic kidney disease c. Client with complete bowel obstruction d. Client with hyperparathyroidism
D
Which event is most likely to trigger renin production? a. patient particpiates in strenuous exercise b. Patient becomes anxious and nervous. c. Patient has urge to urinate during the night d. patient sustains significant blood loss
D
Which hematologic disorder is most likely to occur if the hormonal function of the kidneys is not working properly? a. Leukemia b. Thrombocyopenia c. Neutrpenia d. Anemia
D
Which over-the-counter product used by a patient does the nurse further explore for potential impact on KIDNEY function? a. Mouthwash with alcohol b. Fiber supplement c. Vitamin C d. Acetaminophen
D
Which step will the nurse perform first on a client during assessment of the renal system? a. Listen for a bruit over each renal artery b. Lightly palpate the abdomen in all four quadrants c. Percuss from the lower abdomen towards the umbilicus d. Observe flank area for asymmetry or discoloration
D
Which symptom(s) in a client during the first 12 hours after a kidney biopsy indicates to the nurse a possible complication from the procedure? A. The client experiences nausea and vomiting after drinking juice. B. The biopsy site is tender to light palpation. C. The abdomen is distended, and the client reports abdominal discomfort. D. The heart rate is 118, blood pressure is 108/50, and peripheral pulses are thready.
D
Which technique does the nurse use to obtain a sterile urine specimen from a client with a Foley catheter? a Disconnect the Foley catheter from the drainage tube and collect urine directly from the Foley. b Remove the existing catheter and obtain a sample during the process of inserting a new Foley. c Use a sterile syringe to withdraw urine from the urine collection bag. d Clamp the tubing, attach a syringe to the specimen, and withdraw at least 5 mL of urine.
D
