MedSurg Renal Exam

Which intervention would the nurse implement for a client with a ureteral calculus? (select all that apply)

- monitoring intake and output - straining the urine at each voiding - administering the prescribed analgesic

For which potential complication would the nurse monitor a client receiving continuous ambulatory peritoneal dialysis for end stage kidney disease? (select all that apply)

- Tachycardia - Cloudy outflow - Abdominal pain

Which laboratory test provides evidence consistent with a client having renal impairment? (select all that apply)

- Serum creatinine: 2.0 mg/dL (176.8 µmol/L) - Serum potassium: 5.9 mEq/L (5.9 mmol/L) - Blood urea nitrogen (BUN): 32 mg/dL (11.424 mmol/L)

Which assessment finding in a hospitalized client with a history of chronic kidney disease would alert the nurse to suspect kidney insufficiency?

Edema and pruritus

Which decreased hormone level may cause a client's anemia?

Erythropoietin

Which intervention would prevent urinary stasis and formation of renal calculi in an immobile client?

Increasing oral fluid intake to 2 to 3 L/day

Which medication turns urine reddish-orange in color?

Phenazopyridine

Which finding is expected in a client diagnosed with early glomerulonephritis?

Proteinuria

Which nursing intervention helps prevent complications associated with a shortened urethra revealed by a recent intravenous pyelogram?

Providing thorough perineal care after each voiding

Which procedure involves the examination of the ureters and the renal pelvises?

Pyelogram

Which instruction from the primary health care provider would the nurse anticipate reinforcing with a client who is on metformin therapy and is scheduled to undergo renal computed tomography (CT) with contrast dye?

"Discontinue metformin 1 day prior to procedure."

Which instruction would the nurse give to a client who has a prescription for nitrofurantoin 50 mg orally evening to manage recurrent urinary tract infections?

"Increase your intake of fluids"

Which instruction would the nurse provide to help a client prevent future attacks of glomerulonephritis?

"Seek early treatment for respiratory infections."

Which instruction would the nurse include in a health practices teaching plan for a female client with a history of recurrent urinary tract infections?

"Wear cotton underwear or lingerie"

For which complications would the nurse monitor a client hospitalized with end-stage kidney disease? (select all that apply)

- Anemia - Dyspnea

Which intervention would the nurse include in the plan of care of a client with end-stage renal disease who has a mature arteriovenous (AV) fistula? (select all that apply)

- Auscultate the fistula for the presence of a bruit - Palpate the site to identify the presence of a thrill - Avoid drawing blood from the affected extremity

Which finding in the older adult client is associated with a urinary tract infection UTI? (select all that apply)

- Confusion - Incontinence - Slight rise in temperature

Which action would the nurse take when a client has returned from surgery with a nephrostomy tube? (select all that apply)

- Ensure free drainage of urine - Keep an accurate record of intake and output - Observe and document urine characteristics

A client with renal failure receives prescriptions for vitamin d and calcium supplements. the client asks the nurse, "Why do I need to take these?" The nurse explains that, with renal failure, which condition exists?

A decrease in the active metabolite of vitamin D in the body

Which intervention would the nurse implement first in a client who has a ureteral calculus and is admitted to the hospital with severe flank pain, nausea, and hematuria?

Administer a prescribed analgesic

Which condition can be prevented when a client with chronic kidney disease receives medication to manage anemia?

Chronic fatigue

Which electrolyte deficiency triggers the secretion of renin?

Sodium

What microorganism would the nurse suspect as the cause of acute glomerulonephritis?

Streptococcus

Which instruction would the nurse provide to the client who has been diagnosed with a urinary tract infection?

Urinate after intercourse

What action would the nurse take before a client's scheduled hemodialysis treatment?

Weigh the client to establish a baseline for later comparison