Renal

Lie still on the table for approximately 35 minutes.

A patient is having an MAG3 renogram and is informed that radioactive material will be injected to determine kidney function. What should the nurse instruct the patient to do during the procedure?

Monitor the client for an allergy to iodine contrast material

A client is scheduled for a renal angiography. Which of the following would be appropriate before the test?

After discarding the 8:00 am specimen

A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse initiate the procedure?

Creatinine clearance

A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change?

Dullness

A client has a full bladder. Which sound would the nurse expect to hear on percussion?

confirm all of the medications and supplements normally taken.

An older adult's most recent laboratory findings indicate a decrease in creatinine clearance. When performing an assessment related to potential causes, the nurse should:

Bladder

As women age, many experience an increased sense of urgency to void, as well as an increased risk of incontinence. This is usually the result of age-related changes in which part of the renal system?

Assess the patient's back and shoulder areas for signs of internal bleeding.

Following a renal biopsy, a client reports severe pain in the back, the arms, and the shoulders. Which intervention should be offered by the nurse?

Costovertebral angle tenderness

The client is admitted to the hospital with a diagnosis of acute pyelonephritis. Which clinical manifestations would the nurse expect to find?

Glucose

The nurse analyzes a urinalysis report. He is aware that the presence of this substance in the urine indicates a blood level that exceeds the kidney's reabsorption capacity. Select the substance.

Computed tomography with contrast

The nurse is assessing a client at the diagnostic imaging center. For which diagnostic test would the client assess for an allergy to shellfish?

Blood-tinged urine

The nurse is caring for a client after a cystoscopic examination. Following the procedure, the nurse informs the client that which effect may occur?

The costovertebral angle

The nurse is caring for a client who has presented to the walk-in clinic. The client verbalizes pain on urination, feelings of fatigue, and diffuse back pain. When completing a head-to-toe assessment, at which specific location would the nurse assess the client's kidneys for tenderness?

Decreased fluid intake

The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect which condition?

Bleeding

The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of which of the following?

Urine: RBC 20 BUN 28 mg/dL

The nurse is reviewing the client's lab results. Which lab result requires follow up by the nurse? Select all that apply

Specific gravity 1.035

The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is:

10:1

The nurse is reviewing the results of a client's renal function study. The nurse understands that which value represent a normal BUN-to-creatinine ratio?

Control of water balance

When describing the functions of the kidney to a client, which of the following would the nurse include?

functional capacity.

When the bladder contains 400 to 500 mL of urine, this is referred to as

Susceptibility to develop hypernatremia

Which is an effect of aging on upper and lower urinary tract function?

The client voids 75 cc four hours post cystoscopy

Which nursing assessment finding indicates the client has not met expected outcomes?

Client reports increasing fatigue.

Which nursing assessment finding indicates the client with renal dysfunction has not met expected outcomes?

Renal arteries thicken

Which of the following is an age-related change associated with the renal system?

check the client's pedal pulses frequently.

A client in a short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should:

glucose

A client is experiencing some secretion abnormalities, for which diagnostics are being performed. Which substance is typically reabsorbed and not secreted in urine?

Monitor the client for an allergy to iodine contrast material.

A client is scheduled for a renal angiography. Which of the following would be appropriate before the test?

"You don't need to do any fasting before this noninvasive test."

A client is scheduled for a renal ultrasound. Which of the following would the nurse include when explaining this procedure to the client?

Infection

A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect?

Palpate the pulses in the legs and feet

A client undergoes renal angiography. Which postprocedure care intervention should the nurse provide to the client?

The left kidney usually is slightly higher than the right one.

A client with a genitourinary problem is being examined in the emergency department. When palpating the client's kidneys, the nurse should keep in mind which anatomic fact?

Multiple myeloma

A client with suspected renal dysfunction is scheduled for excretory urography. The nurse reviews his history for conditions that may warrant changes in client preparation. Normally, the client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding calls for the client to be well hydrated?

Creatinine

A creatinine clearance test is ordered for a client with possible renal insufficiency. The nurse must collect which serum concentration midway through the 24-hour urine collection?

"Do you take multiple vitamin preparations?"

A female client presents to the health clinic for a routine physical examination. The nurse observes that the client's urine is bright yellow. Which question is most appropriate for the nurse to ask the client?

Ureters

A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract?

150

A nurse is assisting the physician conducting a cystogram. The client has an intravenous (IV) infusion of D5W at 40 ml/hr. The physician inserts a urinary catheter into the bladder and instills a total of 350 ml of a contrast agent. The nurse empties 500 ml from the urinary catheter drainage bag at the conclusion of the procedure. How many milliliters does the nurse record as urine?

Renal pelvis

A nurse is describing the renal system to a client with a kidney disorder. Which structure would the nurse identify as emptying into the ureters?

Bladder ultrasonography

A patient is having a problem with retention of urine in the bladder. Which of the following diagnostic tests measures the amount of residual urine in the bladder?

intake of medication such as phenazopyridine hydrochloride

The nurse observes that the client's urine is orange. Which additional assessment would be important for this client?

Kidney stones

The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following?

oliguria.

The term used to describe total urine output less than 0.5 mL/kg/hour is

It may indicate multiple medications taken by the client

To obtain information about the chief complaint and medical history of an older client, the nurse asks the client about any medication history. Why is obtaining a medication history important?

Deficient knowledge: procedure

Which of the following is an inappropriate nursing diagnosis for the client following a voiding cystourethrography?

Oliguria

Which term best describes a total urine output less than 500 mL in 24 hours?

Dysuria

Which term describes painful or difficult urination?

Creatinine clearance

Which value does the nurse recognize as the best clinical measure of renal function?

"Do you urinate while sleeping?"

While reviewing a client's chart, the nurse notes the client has been experiencing enuresis. To assess whether this remains an ongoing problem for the client, the nurse asks which question?