A client is admitted to the hospital and has a diagnosis of early-stage chronic renal failure. Which of the following would the nurse expect to note on assessment of the client? A. Polyuria B. Polydipsia C. Oliguria D. Anuria Correct Answer: A. Polyuria Polyuria occurs early in… Read More »
What is the priority nursing diagnosis with your patient diagnosed with end-stage renal disease? A. Activity intolerance B. Fluid volume excess C. Knowledge deficit D. Pain Correct Answer: B. Fluid volume excess Fluid volume excess because the kidneys aren’t removing fluid and wastes. The other diagnoses may… Read More »
A week after kidney transplantation the client develops a temperature of 101, the blood pressure is elevated, and the kidney is tender. The X-ray results show the transplanted kidney is enlarged. Based on these assessment findings, the nurse would suspect which of the following? A. Acute rejection B. Chronic rejection C. Kidney… Read More »
The client with chronic renal failure returns to the nursing unit following a hemodialysis treatment. On assessment the nurse notes that the client’s temperature is 100.2. Which of the following is the most appropriate nursing action? A. Encourage fluids. B. Notify the physician. C. Monitor the site of the shunt for infection.… Read More »
A patient with ESRD has an arteriovenous fistula in the left arm for hemodialysis. Which intervention do you include in his plan of care? A. Apply pressure to the needle site upon discontinuing hemodialysis. B. Keep the head of the bed elevated 45 degrees. C. Place the left arm on an arm… Read More »
The client with BPH undergoes a transurethral resection of the prostate. Postoperatively, the client is receiving continuous bladder irrigations. The nurse assesses the client for signs of transurethral resection syndrome. Which of the following assessment data would indicate the onset of this syndrome? A. Bradycardia and confusion B. Tachycardia and diarrhea C.… Read More »
The nurse is performing an assessment on a client who has returned from the dialysis unit following hemodialysis. The client is complaining of a headache and nausea and is extremely restless. Which of the following is the most appropriate nursing action? A. Notify the physician. B. Monitor the client. C. Elevate the… Read More »
Your 60 y.o. patient with pyelonephritis and possible septicemia has had five UTIs over the past two years. She is fatigued from lack of sleep, has lost weight, and urinates frequently even in the night. Her labs show: sodium, 154 mEq/L; osmolarity 340 mOsm/L; glucose, 127 mg/dl; and potassium, 3.9 mEq/L. Which nursing diagnosis is… Read More »
The client is admitted to the hospital with BPH, and a transurethral resection of the prostate is performed. Four hours after surgery the nurse takes the client’s VS and empties the urinary drainage bag. Which of the following assessment findings would indicate the need to notify the physician? A. Red bloody urine B.… Read More »
The nurse is assisting a client on a low-potassium diet to select food items from the menu. Which of the following food items, if selected by the client, would indicate an understanding of this dietary restriction? A. Cantaloupe B. Spinach C. Lima beans D. Strawberries Correct Answer:… Read More »