Kidney and Genitourinary
A nurse is caring for a client who has not voided eight hours following the removal of a indwelling urinary catheter. Which of the following action should the nurse take first?
The nurse should assess the post void residual (PVR) using a bladder scanner.
A nurse is planning care for a client who has acute glomerulonephritis. Which of the following intervention should the nurse include in the plan?
-Administer antibiotics. -Restrict fluids -daily weights
A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the patient's plan of care? Select all that apply
-Apply skin barrier around the stoma site -Hematuria is an expected finding during the first 48 hr -Monitor hourly urine output
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as associated risk factors?
-hypercalcemia -obesity (BMI greater than 29) -family history -aspirin, antacids, vitamin D, laxatives
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
-lethargy -oliguria -weight gain secondary to fluid retention
A nurse is caring for an older client who has urinary tract infection (UTI). Which of the manifestations should the nurse identify as a finding specifically associated with this client?
Confusion
A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
The test will tell your doctor how your kidneys are functioning.
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin Alfa. Which of the following laboratory results for the nurse review for indication of a therapeutic effect of the medication?
The therapeutic effect of epoetin alfa is enhanced red blood cell production, which is reflected in an increased RBC, Hgb, and Hct.
A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?
-Ciprofloxacin can cause tendinitis and tendon rupture. The client should monitor and report tendon pain or inflammation. -The client should drink 3,000 mL of fluid daily to reduce the risk for crystallization of ciprofloxacin and to dilute urine.
A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?
-Hypokalemia is associated with polyuria -Specific gravity is increased in clients who have hypovolemia. -BUN is increased in clients who have dehydration. -Increased creatinine levels are associated with renal failure.
A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? Select all that apply
-Obtain a urine specimen prior to the procedure -Obtain written, informed consent -Maintain NPO status prior to the procedure -Obtain coagulation studies
A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching?
-Pyelonephritis is a serious complication of pregnancy that can lead to preterm labor. -Infection with Escherichia coli is the most common cause of pyelonephritis. -Pyelonephritis is an infection of the upper urinary tract, or the kidney. -Pyelonephritis causes a sudden onset of flank pain, fever, chills, and anorexia with nausea and vomiting.
A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? Select all that apply
-Relief of urinary retention -Measurement of residual urine after urination -An open perineal wound -bladder distention -prevention of urethral obstruction
A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
-The nurse should encourage fluid intake after the procedure to help promote elimination of the dye used during the procedure. -The client will likely be on clear liquids only immediately following the procedure.
A nurse is providing dietary teaching to a client who has frequent kidney stones. Which of the following instructions should the nurse include in the teaching?
-The nurse should instruct the client to avoid high-oxalate foods, such as peanuts or tree nuts including almonds, cashews, and hazelnuts, to decrease the risk of stone formation. -avoid a high-protein diet -eating dairy products to increase calcium intake is recommended to decrease the risk of stone formation. -avoid large doses of supplemental vitamin C
A nurse is providing teaching to a client about completing a creatinine clearance test which of the following instructions to the nurse include in the teaching?
The nurse should instruct the client to avoid exercising during the testing time because it can cause an increase in the creatinine values.
A nurse is caring for a client and observes that the clients urine is dark amber, cloudy and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?
UTI