EAQ Chapter 67
What should the nurse expect to find in a patient whose ultrasound shows an obstruction in the upper part of the ureter?
Hydronephrosis
What manifestation does the nurse expect to assess in a patient with chronic pyelonephritis?
Hyperkalemia
A patient with hydronephrosis is scheduled for a nephrostomy. What diagnostic test is most important for this patient before the procedure?
INR
The nurse is teaching a patient with polycystic kidney disease about controlling hypertension. Which instruction would be helpful in slowing the progression of kidney dysfunction?
Increase the daily...
What does the nurse expect to find during the assessment of a patient with polycystic kidney disease (PKD)?
Increased abdominal girth
The renal echography for a patient indicates hydronephrosis. What does the nurse tell the patient about this condition?
It is caused by an obstruction in the renal pelvis.
What is the most accurate statement regarding acute glomerulonephritis (GN)?
It may cause...
Which statement describing hydronephrosis is correct?
It may occur..
Which complication of polycystic kidney disease (PKD) may result in high blood pressure?
Kidney ischemia
Which staff member does the charge nurse assign to a patient who has benign prostatic hyperplasia and hydronephrosis and needs an indwelling catheter inserted?
LPN/LVN with 5 years of experience in an outpatient urology surgery center
The nurse is caring for a patient with acute glomerulonephritis. What instructions does the nurse provide to manage the infection?
Maintain Restrict Consume
Which teaching points would be helpful in lowering the risk of end-stage kidney disease, when instructing a patient about self-management therapies related to polycystic disease?
Measure Regular Getting
Which statement about autosomal dominant polycystic kidney disease (ADPKD) is correct?
Men and women...
Which medication is prescribed to treat pyelonephritis?
Nitrofur...
Which clinical manifestation indicates the inability of the kidneys to concentrate the urine in patients with polycystic kidney disease?
Nocturia
The nurse assesses a patient who has undergone nephrostomy and determines that the patient's drainage tube has become dislodged. What finding supports the nurse's conclusion?
The patient reports
When caring for a patient who had a nephrostomy tube inserted 4 hours ago, which is essential for the nurse to report to the health care provider?
Tube that has stopped...
A patient with a history of diabetes mellitus and cataracts is diagnosed with pyelonephritis. What does the nurse identify as the possible cause of pyelonephritis in the patient?
Use of NSAD
When assessing a patient with acute pyelonephritis, which findings does the nurse anticipate will be present?
Vomit Chills Dysuria
During discharge teaching for a patient with kidney disease, what does the nurse teach the patient to do?
Weight yourself...
A patient, who is a mother of two, has autosomal dominant polycystic kidney disease (ADPKD). Which statement by the patient indicates a need for further education about her disease?
"By maintaining a low-salt diet in our house, I can prevent ADPKD in my children."
The nurse is caring for a patient with pyelonephritis. What does the nurse teach the patient about preventing end-stage kidney disease?
Complete the drug
When assessing a patient with acute glomerulonephritis, which finding causes the nurse to notify the provider?
Crackles
What is the drug of choice for hypertension in a patient diagnosed with polycystic kidney disease (PKD)?
ACE inhibitor
The nurse is caring for a patient with polycystic kidney disease (PKD). What nursing intervention does the nurse perform to provide comfort from flank pain?
Administer ciprofloxacin as prescribed.
When caring for a patient with nephrotic syndrome, which intervention should be included in the plan of care?
Administering angiotensin-converting enzyme (ACE) inhibitors to decrease protein loss
The nurse receives a report on a patient with hydronephrosis. Which laboratory study does the nurse monitor?
BUN
How are the blood creatinine and blood urea nitrogen (BUN) levels related to reduced glomerular filtration rate (GFR) in patients with obstructive kidney disorders?
BUN increases with reduced GFR
A patient with chronic kidney disease asks the nurse about the relationship between the disease and high blood pressure. What is the nurse's best response?
Because the kidneys...
The nurse is caring for a 76-year-old patient on prolonged bedrest related to a history of stroke. Which condition is the patient at risk of developing?
Chronic pyelonephritis
Which factor is an indicator for a diagnosis of hydronephrosis?
History of urinary...
Which clinical manifestation in a patient with pyelonephritis indicates that treatment has been effective?
Decreased WBC
A patient presented with symptoms of acute glomerulonephritis. Which sample of urine is likely to be collected for accurate urinalysis?
Early morning
A hospitalized patient is 12 hours post nephrostomy. Which clinical manifestations should be assessed for monitoring the complication-like infection?
Fever Change..
What signs/symptoms does the nurse expect to find during the assessment of a patient with polycystic kidney disease (PKD)?
Flank Kidney Nocturia
A patient is admitted with uremic symptoms secondary to chronic glomerulonephritis. What does the nurse expect to find in the assessment?
Flapping Itching
The nurse is caring for a patient who underwent a nephrostomy tube insertion because of a urethral stricture. What assessment findings does the nurse report immediately to the health care provider?
Foul Leakage Leakage Reports
Which type of kidney disorder may occur in the patient diagnosed with systemic lupus erythematosus (SLE)?
Glomerular...
A 70-year-old patient reports shortness of breath and a decrease in urine output. What else does the nurse include in the assessment in order to differentiate between congestive heart failure and glomerulonephritis?
Hematuria
What is the most accurate statement regarding the etiology and genetic risk of polycystic kidney disease (PKD)?
PKD can occur...
When preparing a patient for a nephrostomy tube insertion, it is essential for the nurse to monitor which factor before the procedure?
PT/INR
The nurse is caring for a patient with acute pyelonephritis. Which indicator is used to determine adequate fluid intake?
Pale yellow urine
Which kidney disease would have higher incidence of cerebral aneurysms?
Polycystic kidney disease
When caring for a patient with polycystic kidney disease, which goal is most important?
Preventing...
A patient with pyelonephritis has been prescribed urinary antiseptic medication. What purpose does this medication serve?
Provides comfort
Which procedure is preferred for the removal of a large stone from the kidney pelvis?
Pyelo...
A patient presents with hydronephrosis because of a kidney stone. Which procedure does the nurse expect the health care provider to prescribe to remove the kidney stone?
Pyeloneph...
Which staff member should care for a newly admitted patient who is diabetic, has pyelonephritis and prescriptions for intravenous antibiotics, and who needs blood glucose monitoring every 2 hours and insulin administration?
RN who has just completed preoperative teaching for a patient who is scheduled for nephrectomy
When taking the health history of a patient with acute glomerulonephritis, the nurse questions the patient about which related cause of the problem?
Recent respiratory...
Which findings indicate that a patient is progressing normally 12 hours after a nephrostomy tube is inserted?
Red Minimum Blood
Which patient action may cause complications if the patient has polycystic kidney disease?
Reducing fluid intake
What does the nurse teach a patient with polycystic kidney disease about managing the disease?
Report any...
Which sign or symptom when assessed in a patient with chronic glomerulonephritis (GN) warrants a call to the health care provider?
S3
Which laboratory parameter indicates impaired kidney function?
Serum creatinine
A patient with polycystic kidney disease is on trimethoprim therapy. What should the nurse monitor to identify the presence of an adverse drug reaction?
Serum creatinine...
The nurse is reviewing the laboratory results of a patient with altered kidney function. What laboratory findings suggest the onset of nephrotic syndrome?
Severe Increased serum Lipidemia...
Which condition may predispose a patient to chronic pyelonephritis?
Spinal cord injury
A patient is hesitant to talk to the nurse about genitourinary dysfunction symptoms. What is the nurse's best response?
Take your time...
The nurse is caring for a patient with acute glomerulonephritis (GN) who has a total urine output of 350 mL in 24 hours. What intervention does the nurse include in the plan of care?
Teach the patient
