Surgical excretion

1. A nurse is monitoring the urinary output of an adult client who had a colon resection. Which of the following 24 hr output totals indicates oliguria?

380 mL

1. A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

encourage to drink 3 l of water a day

1. A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected findings for this client?

BUN 100

1. A nurse is caring for a client who has polycystic kidney disease. Which of the following findings should the nurse expect?

flank pain

1. A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan?

obtain urine specimen prior to the procedure obtain written, informed consent maintain NPO status prior to the procedure obtain coagulation studies

1. A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

oliguria

1. A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

this test will tell your doctor how your kidneys are function

1. A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid?

tomatoes bananas raisins

1. A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client is effectively responding to the treatment?

urine specific 1.020

1. A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

serum creatinine 6

1. A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis. Which of the following information should the nurse include in the teaching?

CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires

1. A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen is 32 mg/dl, creatinine 1.1 mg/dl, and hematocrit 50%. Which of the following nursing interventions is appropriate?

evaluate urine for amount and for specific gravity

1. A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching?

your provider might prescribe anticholinergic medications you should limit fluids in the evening you should restrict your intake of caffeine

1. A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

family history

1. A nurse is caring for a client who is two days postoperative following creation of an ileal conduit. Which of the following is an unexpected findings associated with this procedure?

feces in the drainage appliance

1. A nurse is caring for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse plan to administer?

finasteride

1. A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. the nurse should identify which of the following medications as the cause of the client's low potassium level?

furosemide

1. A nurse in a community clinic is assessing an older adult client for manifestations of dehydration. Which of the following findings should the nurse expect?

furrows in the tongue

1. A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

headache, restlessness

1. A staff nurse is teaching a client who has addison's disease about the disease process. The client asks the nurse what causes addisons disease. Which of the following responses should the nurse make?

It is caused by the lack of production of aldosterone by the adrenal gland

1. A nurse is caring for a client who has chronic glomerulonephritis. The nurse should expect to find a decrease in which of the following serum laboratory values?

RBC

1. A nurse is caring for a client who has benign prostatic hyperplasia. The nurse should expect which of the following findings?

difficulty starting the flow of urine

1. A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?

dizziness

1. A nurse is assessing four clients for fluid balance. The nurse should identify that which of the following clients is exhibiting manifestations of dehydration?

a client who has a temperature of 39 c

1. A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

a client who has diarrhea

1. A nurse is teaching a client who has chronic kidney failure about planning a low protein diet. The client states, why do I have to be concerned about protein? Which of the following responses should the nurse make?

a low-protein diet reduces the risk for uremia

1. A nurse is caring for a client who has paraplegia following an automobile accident. The client is on an intermittent urinary catherization program. Which of the following findings indicates the need for catheterization?

dribbling of urine

1. A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. Which of the following foods should be eliminated in the clients diet?

dried apricots

1. A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications?

acetlycystine

1. A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

administer antibiotics

1. A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. which of the following actions is the nurses priority?

administer pain medication

1. A nurse is reviewing a clients laboratory values and discovers the client has a serum potassium of 6.2 mEq/L.

adminstering sodium polystyrene sulfonate

1. A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram. Which of the following statements should the nurse include in the teaching?

after the procedure you will be encouraged plenty of fluids

1. A nurse is discussing kidney transplant with a client who has end stage renal disease. Which of the following should the nurse identify as a contraindication for this treatment?

alcohol use disorder

1. A nurse is assessing a client who is to have IV urography. Which of the following data should indicate to the nurse that this procedure is contraindicated for this client?

allergy to shellfish

1. A nurse is developing a plan of care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following?

anxiety, disturbed body image, impaired skin integrity, infection

1. A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care?

apply skin barrier around the stoma site educate the client that hematuria is expected following the procedure monitor hourly urine output

1. A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

bleeding tendencies

1. A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

bun 45

1. A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

drink 3 l of fluid every day

1. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

check the catheter tubing for kinks or twisting

1. A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include in the plan of care?

check the client's iv infusion every 8 hour

1. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate. The nurse notes that the clients indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first>

check tubing for kinks

1. A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?

creatinine levels are increased in clients who have acute kidney injury

1. A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client?

cystitis

1. A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect?

elevated BUN

1. A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the clients Jackson pratt drain?

expel the air from the JP bulb after emptying to re-establish

1. a nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

daily weight

1. A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

dark and foamy

1. A nurse is teaching a client who has urolithiasis. The nurse should explain that which of the following conditions can increase the risk for renal calculi?

dehydration

1. A nurse is reviewing the medical record of a client who has a urinary tract infection. Which of the following findings should the nurse recognize as a risk factor?

diabetes

1. A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

dialysis disequilibrium

1. A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complications of pelvic fractures?

hematuria

1. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?

hemorrhage

1. A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

hyperkalemia

1. A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury. Which of the following electrolyte imbalances should the nurse expect?

hyperkalemia

1. A nurse is caring for a client who is receiving total parenteral nutrition and develops refeeding syndrome. The nurse should expect which of the following laboratory findings?

hypophosatemia

1. The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

i need to limit my sun exposure and wear sunscreen while on this medication

1. A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?

i need to urinate a small amount in the toilet before collecting the sample

1. A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

i should increase my sodium intake

1. A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the followings statements by the client should the nurse identify as understanding of the teaching?

i will make a list of my favorite beverages

1. A nurse is providing teaching to a client about measures to prevent urinary tract infections. Which of the following client statements indicates a need for further teaching?

i will need to wipe my perineal area from back to front after urination

1. A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include?

increase fatty fish in diet

1. A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?

increased BUN

1. A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

instruct the client to avoid drinking carbonated beverages

1. A nurse is caring for a client 4 hrs postoperative following a kidney biopsy. Which of the following interventions should the nurse take?

monitor for hematuria and check for flank pain

1. A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

nausea and vomiting

1. A nurse in a clinic is assessing a client who has a new diagnosis of interstitial cystitis. The nurse should expect which of the following findings?

negative urine culture

1. A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the following assessments should the nurse view to be an indication of postoperative complication?

output of burgundy colored urine

1. A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence.

overflow incontinence

1. A nurse is caring for a client who has acute kidney injury. Which of the following arterial blood gas values would the nurse expect this client to have?

pH 7.26 hco3 14 paCo2 30

1. A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal. The nurse should inform the client that he should expect which of the following variations in the color of his urine?

pale pink

1. A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

ph 7.25, hco3 19, paCO2 30

2. A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decreased in which of the following laboratory values?

potassium

1. A nurse is reviewing the laboratory results of a client who takes furosemide. Which of the following results should the nurse identify as the priority finding?

potassium 2.9

1. A nurse is preparing a client who has aids for discharge. Which of the following statements should the nurse include in the discharge instructions?

prevent the spread of infection with good household cleaning practices

1. A nurse is providing dietary teaching to a client who has chronic kidney disease. The nurse should instruct the client to limit which of the following nutrients?

protein phosphorous sodium

1. A nurse is assessing a client who returned to the unit 4 hr ago after a partial colectomy. Which of the following findings should the nurse attend to first?

report severe incisional pain

1. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone and sodium level of 123 mEq/L. which of the following prescriptions should the nurse anticipate?

restrict fluid intake of 1000 ml per day

1. A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

rigid abdomen

1. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus. Which of the following values should give the nurse the best indication of the clients renal function?

serum creatinine

1. A nurse is monitoring an older adult female client who had myocardial infarction for the development of an acute kidney injury. Which of the following findings should the nurse identify as indicating an increased risk of acute kidney injury?

serum creatinine 1.8

1. A nurse is caring for a male client who has chronic glomerulonephritis. Which of the following findings should the nurse expect?

serum creatinine 7

1. A nurse is caring for a client who has end stage renal disease. Which of the following are expected findings?

slurred speech bone pain pruritus

1. A nurse is reviewing the laboratory test results of a client who is scheduled for a carotid endarterectomy in 3 days. Which of the following results should the nurse report to the provider?

sodium 151

1. A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L.which of the following medications should the nurse plan to administer?

sodium polystyrene

1. A nurse is assessing a client who has end stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

the client has as 5 lb weight gain since yesterday

1. A nurse is assessing a client who has a colostomy. Which of the following findings should the nurse report to the provider?

the stoma is pale in color

1. A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate and has a continuous bladder irrigation in place. Which of the following actions should the nurse take?

use sterile technique when preparing the irrigation solution ensure drainage tubing is patent and without obstruction or kink notify the surgeon if the urine is bright red in appearance of has large clots

1. A nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following actions should the nurse implement?

weight the client after he has voided

1. A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance.

when the bag is 2/3 full

1. A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?

you may have pink tinged urine after this procedure

1. A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

you should anticipate pain the first week during the inflow of dialysate

1. A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

you will need to avoid rigorous exercise during the test