Urinary/ Renal Quiz

A nurse is completing the admission assessment of a client who has renal calculi. Which of the following is an expected finding? A. Bradycardia B. Diaphoresis C. Nocturia D. Bradypnea

B. Diaphoresis is a clinical manifestation associated with a client who has a kidney stone.

A nurse is assessing a client who has prerenal AKI. Which of the following findings should the nurse expect? (Select all that apply.) A. Reduced BUN B. Elevated cardiac enzymes C. Reduced urine output D. Elevated serum creatinine E. Elevated serum calcium

C, D A manifestation of prerenal AKI is reduced urine output. A manifestation of prerenalAKI is elevated serum creatinine.

A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which of the following information should the nurse include in the teaching? A. Hemodialysis restores kidney function. B. Hemodialysis replaces hormonal function of the renal system. C. Hemodialysis allows an unrestricted diet. D. Hemodialysis returns a balance to serum electrolytes.

D. The nurse should explain to the client that hemodialysis restores electrolyte balance by removing excess sodium, potassium, fluids, and waste products, and also restores acid‐base balance.

On reading the urinalysis results for a dehydrated patient, the nurse would expect to find: A. pH of 8.4 B RBC's of 4/hpf C. color: yellow, cloudy D. specific gravity of 1.035

D. specific gravity of 1.035

A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the following assessment findings requires immediate intervention by the nurse? A. Flank pain that radiates to the lower abdomen B. Client report of nausea C. Absent urine output for 1 hr D. WBC count 15,000

C. When using the acute vs. chronic approach to care, no urine output for 1 hr requires immediate intervention by the nurse. This indicates kidney dysfunction, and the provider should be notified immediately.

A nurse is assessing a client who has end-stage kidney disease. Which of the following findings should the nurse expect? (Select all that apply.) A. Anuria B. Marked azotemia C. Crackles in the lungs D. Increased calcium level E. Proteinuria

A, B, C, E -Anuria is a manifestation of end-stage kidney disease. -Marked azotemia is elevated BUN and serum creatinine, is a manifestation of end-stage kidney disease. -Crackles in the lungs can indicate the client has pulmonary edema, caused from hypervolemia due to end-stage kidney disease. -Proteinuria is a manifestation of end-stage kidney disease. DECREASED Calcium

Which description characterizes acute kidney injury? SATA A. Primary cause of death is infection B. It almost always affects older people C. Disease course is potentially reversible D. Most common cause is diabetic nephropathy E. Cardiovascular disease is the most common cause of death

A, C

A nurse is planning care for a client who has chronic pyelonephritis. Which of the following action should the nurse take? A. Provide a referral for nutrition counseling B. Encourage daily fluid of 1L C. Palpate the costovertebral angle D. Monitor urinary output E. Administer antibiotics

A, C, D, E

The nurse teaches the patient that has recurrent UTI's that she should : A. take baths with bubble baths B. urinate before and after sexual intercourse C. take prophylactic sulfonamides for the rest of her life D. restrict fluid intake to avoid the need for frequent voiding

B. urinate before and after sexual intercourse

A nurse is caring for a client who has a urinary tract infection. Which of the following is the priority intervention by the nurse? A. Offer a warm sitz bath. B. Recommend drinking cranberry juice. C. Encourage increased fluids. D. Administer an antibiotic.

D. The greatest risk to the client is injury to the renal system from the UTI. Therefore, thepriority intervention is to administer antibiotics.