Which sign indicates the second phase of acute renal failure? A. Daily doubling of urine output (4 to 5 L/day). B. Urine output less than 400 ml/day. C. Urine output less than 100 ml/day. D. Stabilization of renal function. Correct Answer: A. Daily doubling of urine output… Read More »
Which of the following symptoms is the most common clinical finding associated with bladder cancer? A. Suprapubic pain B. Dysuria C. Painless hematuria D. Urinary retention Correct Answer: C. Painless hematuria Painless hematuria is the most common clinical finding in bladder cancer. Other symptoms include frequency, dysuria,… Read More »
The nurse is reviewing a list of components contained in the peritoneal dialysis solution with the client. The client asks the nurse about the purpose of the glucose contained in the solution. The nurse bases the response knowing that the glucose: A. Prevents excess glucose from being removed from the client. B. Decreases… Read More »
Your patient had surgery to form an arteriovenous fistula for hemodialysis. Which information is important for providing care for the patient? A. The patient shouldn’t feel pain during initiation of dialysis. B. The patient feels best immediately after the dialysis treatment. C. Using a stethoscope for auscultating the fistula is contraindicated. … Read More »
A client who has been diagnosed with bladder cancer is scheduled for an ileal conduit. Preoperatively, the nurse reinforces the client’s understanding of the surgical procedure by explaining that an ileal conduit: A. Is a temporary procedure that can be reversed later. B. Diverts urine into the sigmoid colon, where it is expelled… Read More »
The nurse is preparing to care for a client receiving peritoneal dialysis. Which of the following would be included in the nursing plan of care to prevent the major complication associated with peritoneal dialysis? A. Monitor the client’s level of consciousness. B. Maintain strict aseptic technique. C. Add heparin to the dialysate… Read More »
Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium)? A. If the urine turns orange-red, call the doctor. B. Take phenazopyridine just before urination to relieve pain. C. Once painful urination is relieved, discontinue prescribed antibiotics. D. After painful urination is relieved,… Read More »
A client has just received a renal transplant and has started cyclosporine therapy to prevent graft rejection. Which of the following conditions is a major complication of this drug therapy? A. Depression B. Hemorrhage C. Infection D. Peptic ulcer disease Correct Answer: C. Infection Infection is the… Read More »
The nurse is reviewing a medication history of a client with BPH. Which medication should be recognized as likely to aggravate BPH? A. metformin (Glucophage) B. buspirone (BuSpar) C. inhaled ipratropium (Atrovent) D. ophthalmic timolol (Timoptic) Correct Answer: C. inhaled ipratropium (Atrovent) Atrovent is a bronchodilator, and… Read More »
A patient with diabetes mellitus and renal failure begins hemodialysis. Which diet is best on days between dialysis treatments? A. Low-protein diet with unlimited amounts of water. B. Low-protein diet with a prescribed amount of water. C. No protein in the diet and use of a salt substitute D. No restrictions.… Read More »