Renal

After receiving reports on four clients who are postnephrostomy tube placement, which client would the nurse see first? The client with tenderness at the surgical site The client with small clots in the drainage bag The client with cloudy urine in the drainage bag The client requesting the next dose of pain medication.

The client with cloudy urine in the drainage bag could indicate an infection and be evaluated for accompanying symptoms - fever + back pain.

Which clinical findings would the nurse expect when assessing a client with chronic kidney failure? Select all that apply. 1Polyuria 2Lethargy 3Hypotension 4Muscle twitching 5Respiratory acidosis

2Lethargy 4Muscle twitching lethargy d/t anemia

The laboratory report of a client reveals increased levels of atrial natriuretic peptide. Which other finding would the nurse anticipate to find in the client? Decreased urine output Increased concentration of urine Increased sodium excretion in urine Decreased glomerular filtration rate

Increased sodium excretion in urine atrial natriuretic peptide (ANP) acts on kidneys, cause increase in excretion of sodium by inhibiting aldosterone. ANP increase output, urine is dilute, GFR is increased

Which laboratory test provides evidence consistent with a client having renal impairment? Serum albumin: 4.7 g/dL(6.815 µmol/L) Serum creatinine: 2.0 mg/dL (176.8 µmol/L) Serum potassium: 5.9 mEq/L (5.9 mmol/L) Serum cholesterol: 120 mg/dL (3.108 mmol/L) Blood urea nitrogen (BUN): 32 mg/dL (11.424 mmol/L)

Serum creatinine: 2.0 mg/dL Serum potassium: 5.9 mEq/L Blood urea nitrogen (BUN): 32 mg/dL

After receiving hemodialysis for several years, a client has a kidney transplant scheduled. Which statements would the nurse include in the client's preoperative teaching plan? Select all that apply. The kidney may not function immediately." "Precautions are needed to prevent infection." "A urinary catheter will be present postoperatively." "Immunosuppressive medications will be given preoperatively."

The kidney may not function immediately." - may still require dialysis "Precautions are needed to prevent infection." "A urinary catheter will be present postoperatively."

A client presents with red, inflamed skin covered with papules, vesicles, and bullae from a type IV hypersensitivity reaction. Which documented condition will the nurse observe in the client's electronic medical record? allergic rhinits contact dermatitis goodpastue syndrome systemic lupus (SLE)

contact deratitis type 4 delayed hypersensitivity, resulting in tisse damage and skin lesions, red skin, papules, vesicles, bullae, type 1= sneezing, swelling with airways obstruction pruritus around the eyes nose throat and mouth. - allergic rhinitis (IgE) goodpasture= type 2, IgG lungs and kidneys SLE = type 3 autoimmune

The laboratory results of a client with a pulmonary hemorrhage and glomerulonephritis reveal the presence of IgG antibodies. The nurse would be concerned about which type of hypersensitivity reaction?

cytotoxic client may have Goodpasture syndrome, this rection is type 2 involving the lungs and kidneys

A client with acquired immunodeficiency syndrome (AIDS) is on a treatment protocol that includes a protease inhibitor. When assessing the client's response to this medication, which common side effect would the nurse expect? diarrhea hypoglycemia paresthesias of extremeties seeing yellow halos

diarrhea