Med surg: Renal and Urinary
A nurse is discussing hemodialysis with a newly licensed nurse. The nurse should identify that hemodialysis is contraindicated for which of the following clients?
A client who can not receive anticoagulants
A nurse is planning care for a group of clients. Nephrotoxicity
A client who is resiving gentamicin for treatment of a wound infection
A nurse is caring for a client who has received hemodialysis. The should identify for which of the following findings places the client at risk for seizures ?
A rapid decrease of fluid
Preparing the client for a (ESWL)for urolithiasis.
Apply electrodes for cardiac monitoring.
A nurse is teaching a client who has a new diagnosis of acute pyelinephritis. Which of following instructions should the nurse include in the teaching?
Avoid NASAID For pain
A nurse is reviewing the laboratory reports of a client who has acute kidney injury. Which of the following findings should the nurse expect?
BUN 30mg/dL Urine output of 40mL in past 3 hr Hematocrit 30%
A nurse is planning care for a client who is postoperative following a nephrectomy. Priority assessment
Blood pressure
A nurse is caring for a client who has continuous bladder irrigation following transurethral resection of the prostate. Upon detecting an output obstruction, which of the following actions should the nurse take first?
Check the irrigation tubing for kinks.
A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis treatment. Which of the following findings should the nurse report to the provider?
Cloudy dialysate effluent
A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings?
Dark-colored urine
Intravenous urography
Determine if the client has an allergy to iodine or shellfish
A nurse is reviewing the medical history of four clients . Which of the following conditions is at risk factor for chronic pyelinephritis?
Diabetes mellitus
A nurse is providing teaching for a client who has chronic kidney disease. Which of the following statements by the client indicates an understanding of the teaching?
I WILL decrease my intake of foods high in phosphorus
A nurse is providing teaching for CKD
I Wiig weight myself each morning
A nurse is caring for a client who has chronic kidney failure and the following laboratory results; BUN 196, sodium 152, and potassium 7.3. Which of the following interventions should the nurse implement?
Infuse regular insulin dextrose 10% in water
A nurse is obtaining a voided urine culture and sensitivity for a client who has manifestations of a Urinary tract infection. Which of the following actions should the nurse take?
Instruct the client to initiate the flow of urine before collecting the specimen
A newly licensed nurse and a preceptor are caring for a client who has just had an arteriovenous shunt place in her left arm
Measuring blood pressure in the shunted arm every 4hr
A nurse is providing instructions regarding reduced dietary intake of potassium for a client who has chronic kidney disease. Which of the following food selections is appropriate for the nurse to recommend to the client?
One large apple
A nurse working in a women's health clinic is caring for a client who reports Urinary urgency and dysuria. Which of the following findings should the nurse identify as an indication of a Urinary tract infection?
Pyuria
A nurse is caring for a client who has acute kidney injury. Which of the following laboratory findings should the nurse report to the provider?
Serum creatinine 4.0 mg/dL
A nurse is providing teaching for a client who has urge Urinary incontinence. The nurse should include which of the following instructions.
Set an interval for toileting based on previous voiding pattern.
A nurse is caring for a client who has nephritc syndromes and has been taking prednisone for 3 days. Which of the following adverse effects should the nurse monitor for and report to the provider?
Sore throat
A nurse is caring for a client following extracorporeal shock wave litho trips for the treatment of calcium phosphate kidney stones which of the following actions is appropriate?
Strain all the client's urine
A nurse is performing assessment on a client who has severe chronic kidney disease. Which of the following findings should the nurse expect for the client?
Tachypnea
A nurse is caring for a client immediately following a kidney transplant. The nurse should identify which of the following client findings as a possible indication of a delay in functioning of the transplanted kidney?
Urine output 30 mL/2 hr
A nurse is caring for a hospitalized client who received hemodialysis 1hr ago. When evaluating the client's status after dialysis, which of the following information should the nurse assess for first?
Vital signs
A nurse working in the emergency department is caring for a client who reports costovertebral angle tenderness, nausea and vomiting. For which of the following laboratory values should the nurse notify the provider?
WBC 15,000/mm
A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to provide which of the following interventions?
Weight the client daily
A nurse is preparing a teaching plan for a male client who has a continent internal ideal reservoir following surgery to treat bladder cancer. Which of the following statements should the nurse include in the teaching plan?
You must insert a catheter through your stoma to drain the urine
A nurse is providing education regarding cyclo sportiness for a client who had a kidney transplant 2 days ago. Which of the following statements by the nurse is appropriate?
You will need to continue taking this medication to protect your new kidneys
