NUR 202 Renal
A client is diagnosed with condyloma acuminatum. Which finding in the client supports the diagnosis?
Moist, fleshy projections on the penis
A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider?
Obtain a urine specimen for culture and sensitivity.
A client with chronic renal failure has been on hemodialysis for 2 years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can best intervene by first considering that the client's behavior is most likely for which reason?
A defense against underlying depression and fear
Which natural physiologic process helps prevent bacterial infections within the client's bladder containing urine?
The secretions of the urothelium
A client with kidney dysfunction reports anorexia, itching, nausea, vomiting, and muscle cramps. Which renal complication do these symptoms indicate?
Uremia
The nurse provides discharge instructions to a male client who had an ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). For which indicators of a UTI should the nurse instruct the client to be on the alert?
Urgency or frequency of urination
A nurse is evaluating a client's response to fluid replacement therapy. Which clinical finding indicates successful replacement?
Urinary output of 30 mL in an hour
A client begins therapy with a new medication. One month later the client notices blood in the urine. Which drug does the nurse anticipate as the cause?
Warfarin
The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition?
Bicarbonate 15 mEq/L
The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition? 1 Potassium 8 mEq/L
Bicarbonate 15 mEq/L
The nurse is preparing a client who is on metformin therapy and is scheduled to undergo renal computed tomography with contrast dye. What does the nurse anticipate the primary healthcare provider to inform the client regarding the procedure?
"Discontinue metformin 1 day prior to procedure."
Which dietary suggestion should the nurse provide while teaching a group of geriatric female clients who have reduced amounts of circulating estrogen?
"Include yogurt in your diet."
A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary nurse that the student nurse understands the purpose of this therapy?
"It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."
Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response by the nurse is most appropriate?
"There will be an indwelling urinary catheter and a continuous bladder irrigation in place."
To help prevent a cycle of recurring urinary tract infections in a female client, which instruction should the nurse share?
"Urinate as soon as possible after intercourse."
A female client has a history of recurrent urinary tract infections. What should the nurse include in the teaching plan when educating the client about health practices that may help decrease future urinary tract infections?
"Wear cotton underpants."
The nurse is instructing a female client how to collect a urine specimen. What should the nurse tell the client about obtaining the specimen?
"With the enclosed towelettes, wipe your labia from front to back before collecting the specimen."
A nurse provides dietary instructions to a client with calcium oxalate kidney stones. Which instruction should the nurse give to the client?
"You should limit your sodium intake."
A nurse is caring for a client with end-stage kidney disease who is about to receive a transplant. When the client returns from the postanesthesia care unit after a kidney transplant, how often should the nurse measure the client's urinary output?
1 hour
What is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?
130 pg/mL (In the follicular phase of the menstrual cycle, 20-150 pg/mL of estradiol is released)
During an 8-hour shift a client has a 6-oz (180 mL) cup of tea and 360 mL of water; the client vomits 100 mL, and the intravenous (IV) fluids instilled equal the urinary output. What is this client's fluid balance at the end of this 8-hour period that the nurse must document on the client's intake and output record?
440 mL
How long will a client's ovum stay viable after its release to get fertilized?
72 hours
A nurse writes a goal of preventing renal calculi in a care plan for a client with paraplegia. Which information most likely caused the nurse to write this goal?
Accelerated bone demineralization
A client is admitted to the hospital with severe flank pain, nausea, and hematuria caused by a ureteral calculus. What should be the nurse's initial intervention?
Administer the prescribed analgesic
To prevent bleeding after a suprapubic prostatectomy, the client should be instructed to avoid straining on defecation. Which foods should the nurse encourage the client to eat to help prevent constipation during the recovery period? Select all that apply.
Apples, Oatmeal, Green peas
The nurse is performing an assessment of a client's reproductive system. Which action should the nurse take?
Ask about menstrual history at the beginning of assessment
A nurse is caring for a client with end-stage renal disease who has a mature arteriovenous (AV) fistula. Which nursing care should be included in the client's plan of care? Select all that apply.
Auscultate for a bruit, Palpate the site to identify a thrill, Avoid drawing blood from the affected extremity.
A nurse is assessing the urine of a client with a urinary tract infection. For which characteristic should the nurse assess each specimen of urine?
Clarity
A nurse is assessing the urine of a client with a urinary tract infection. Which assessment finding is consistent with a urinary tract infection?
Cloudy
A nurse evaluates that a client with chronic kidney disease understands an adequate source of high biologic-value (HBV) protein when the client selects which food from the menu?
Cottage cheese
What are the functions of antidiuretic hormone (ADH)? Select all that apply.
Increasing arteriole constriction, Increasing tubular permeability to water
If a client on peritoneal dialysis develops symptoms of severe respiratory difficulty during the infusion of the dialysate solution, what should the nurse do?
Drain the fluid from the peritoneal cavity
Radium inserted in the vagina of a client now is being removed. Which safety precaution should the nurse employ when assisting with the radium removal?
Ensure that long forceps are available for removing the radium.
A client with a renal disorder is scheduled for an intravenous pyelogram (IVP). Which interventions should the nurse undertake prior to the procedure? Select all that apply.
Ensure that the consent form is signed, Assess the client for iodine sensitivity, Administer an enema or cathartic to the client
The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization?
Human chorionic gonadotropin (hCG)
A client with ascites is scheduled to have a paracentesis. What should the nurse include in the plan of care?
Instruct the client to urinate before the procedure
The nurse finds that a client with a urinary disorder has very pale-yellow-colored urine. What is the significance of this abnormal finding?
It indicates dilute urine
A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for this client?
It predisposes to hydronephrosis
A nurse is caring for a client with a diagnosis of renal calculi secondary to hyperparathyroidism. Which type of diet should the nurse explore with the client when providing discharge information?
Low calcium
A nurse educates the client about the relationship between the kidneys and blood pressure. Which term should the nurse use to describe the part of the kidney that senses changes in blood pressure?
Macula densa
The nurse is performing a physical examination of a client by placing the left hand on the back and supporting the client's right side between the rib cage and the iliac crest. Which physical assessment maneuver is the nurse performing on this client? Correct 1 Palpation
Palpation
Which hormone is released in response to low serum levels of calcium?
Parathyroid hormone
A nurse is reviewing the laboratory reports of a client with a diagnosis of end-stage renal disease. Which test result should the nurse anticipate?
Potassium of 6.3 mEq/L (6.3 mmol/L)
The nurse providing postoperative care for a client who had kidney surgery reviews the client's urinalysis results. Which urinary finding should the nurse conclude needs to be reported to the primary healthcare provider?
Presence of large proteins
Which urinalysis finding indicates a urinary tract infection?
Presence of leukoesterase
A nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice. Which goal is the nurse trying to achieve with this suggestion?
Prevent bacterial attachment to the bladder wall
A postmenopausal woman who has cancer of the breast decides to have a lumpectomy followed by chemotherapy. After receiving chemotherapy for several weeks, she says to a nurse at the clinic, "I don't feel well." The nurse reviews the medical record. Based on this information, what does the nurse conclude is the client's priority need?
Preventing infection
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation?
Prolactin
A nurse is counseling a woman who had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?
Proximity of the urethra to the anus
What is the action of vasopressin?
Reabsorbs water into the capillaries
The nurse is assessing an elderly male. Which finding is seen with aging? 1 Symmetrical testes
Reduced size of testes
Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?
Removing the catheter within 24 hours
Which statement is true regarding the functions of kidney hormones? 1 Prostaglandin increases blood flow and vascular permeability.
Renin raises blood pressure because of angiotensin and aldosterone secretion.
A male client has discharge from the penis. Gonorrhea is suspected. To obtain a specimen for a culture, what should the nurse do?
Swab the drainage directly from the urethra to obtain a specimen
A nurse is providing client teaching to a woman who has recurrent urinary tract infections. Which information should the nurse include concerning the reason why women are more susceptible to urinary tract infections than men?
The length of the urethra
What are the general manifestations associated with clients who have urinary system disorders? Select all that apply.
Excessive thirst, Nausea and vomiting, Elevated blood pressure
A client has a kidney transplant. The nurse should monitor for which assessment findings associated with rejection of the transplant? Select all that apply.
Fever, Oliguria, Weight gain
A client has undergone pelvic surgery and the nurse removes the catheter in a week according to instructions. In the follow up within several hours, which finding in the client indicates a need for reinsertion of catheter?
Retention
The nurse is providing dietary teaching to a client who is receiving hemodialysis. What should the nurse encourage the client to include in the dietary plan?
Rice (Foods high or moderately high in carbohydrates and low in protein, sodium, and potassium are encouraged for clients)
