Tammy - exam 3

pt is ordered a catherization schedule of every 4 to 6 hours due to chronic urinary retention

C. obtain an order to increase the frequency of the catereizations

The nurse is assisting the physician in completing a cystoscopy. In which position would the nurse place the client when preparing for the procedure?

C. on the client's back with feet in stirrups

The nurse is caring for a client who is following a treatment plan to decrease urinary tract infections.

C. the pt exhibits continued symptoms

The nurse is caring for a client who is brought to the emergency room after being found unconscious outside in hot weather. Dehydration is suspected. Baseline lab work including a urine specific gravity is ordered. Which relation between the client's symptoms and urine specific gravity is anticipated?

C. the specific gravity will be high

preventing cystitis.

D. Need to urinate after engaging in sexual intercourse

receiving hemodialysis/which statement best reflects the ability of the kidneys to recover from renal failure?

A. The kidneys can improve over a period of months

The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

A. schedule on a non dialysis day

Pt dx w/ bladder stones. The pt is scheduled for a litholapaxy.

A. strain all urine

Which of the following diagnostic tests would the nurse expect to be ordered to determine the details of the arterial supply to the kidneys

B. Angiography

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

B. Computed tomography with contrast

pt w/chronic renal failure is exhibiting signs of anemia. rationale for this symptom?

B. Diminished erythropoietin production

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

B. Dullness

After teaching a group of students about how to perform peritoneal dialysis, which statement would indicate to the instructor that the students need additional teaching?

B. It is appropriate to warm the dialysate in the microwave

several pts on a urinary medical unit. Which pt is at an increased risk for bladder stones?

B. The client who is paraplegic

pt with chronic renal failure, informs the nurse of the choice for continuous cyclic peritoneal dialysis. Which is the best response by the nurse?

B. This type of dialysis will provide more independence.

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?

B. bleeding

bladder retraining program or urinary incontinence. advises him to wear barrier/most appropriate to maintain skin integrity?

B. exposing the affected area to air

pt says sometimes when I have to urinate, I can't control it and do not reach the bathroom in time.

B. urge

Apt w/polycystic kidney disease requires teaching on the management of the disorder. Which statement made by the client indicates a need for further teaching?

C. As long as I have one normal kidney, I should be fine.

Which assessment finding is most important in determining nursing care for a client with acute glomerulonephritis?

C. Blurred vision

The client with glomerulonephritis is exhibiting gross periorbital edema. Which is the best nursing intervention to relieve this symptoms?

C. Elevate the HOB

A chronic renal failure client complains of generalized bone pain and tenderness. Which assessment finding would alert the nurse to an increased potential for the development of spontaneous bone fractures?

C. Hyperphosphatemia

What test is used to determine? interstitial cystitis.

C. bladder biopsy

The nurse is completing a plan of care for a client with chronic urinary incontinence. Which of the following outcomes is a priority?

C. client will maintain perineal skin integrity

37 yr old female with potential interstitial cystitis. Which question asked by the nurse is helpful in suggesting the disease.

C. when was your last menstrual period?

As the home health nurse reviews medications taken by the client with polycystic kidney disease, which medication should be addressed first?

D. Ibuprofen

The nurse is caring for several older adults. Which client would the nurse be especially alert for signs and symptoms of pyelonephritis?

D. a client with urinary obstruction

The nurse is to check residual amounts for a client experiencing urinary retention. Which of the following would be most important?

D. catheterize the client immediately after he voids

The nurse at the diabetes clinic is instructing a client who is struggling with compliance to the diabetic diet. When discussing disease progression, which manifestation of the disease process on the urinary system most notable?

D. clients have chronic renal failure