The nurse teaches the client with an ileal conduit measure to prevent a UTI. Which of the following measures would be most effective? A. Avoid people with respiratory tract infections. B. Maintain a daily fluid intake of 2,000 to 3,000 ml. C. Use sterile technique to change the appliance. D. Irrigate… Read More »
The client with an arteriovenous shunt in place for hemodialysis is at risk for bleeding. The nurse would do which of the following as a priority action to prevent this complication from occurring? A. Check the results of the PT time as they are ordered. B. Observe the site once per shift. … Read More »
A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are: A. At increased risk for cancer due to immunosuppression caused by cyclosporine (Neoral). B. Consumed with fear after the life-threatening experience of having a transplant. C.… Read More »
A client who has been diagnosed with calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time? A. Report hematuria to the physician. B. Strain the urine carefully. C. Administer meperidine (Demerol) every 3 hours. D. Apply warm compresses… Read More »
The nurse is monitoring a client receiving peritoneal dialysis and the nurse notes that a client’s outflow is less than the inflow. Which of the following actions will the nurse take. Select all that apply. A. Place the client in good body alignment. B. Check the level of the drainage bag. C.… Read More »
You’re developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to: A. Remain afebrile and have negative cultures. B. Resume normal fluid intake within 2 to 3 days. C. Resume the patient’s normal job within 2… Read More »
A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter would be to: A. Irrigate the catheter with 30 ml of normal saline every 8 hours. B. Ensure that the catheter is draining freely. C. Clamp the catheter every 2 hours… Read More »
The nurse assesses the client who has chronic renal failure and notes the following: crackles in the lung bases, elevated blood pressure, and weight gain of 2 pounds in one day. Based on these data, which of the following nursing diagnoses is appropriate? A. Excess fluid volume related to the kidney’s inability to maintain… Read More »
Which patient is at greatest risk for developing a urinary tract infection (UTI)? A. A 35 y.o. woman with a fractured wrist B. A 20 y.o. woman with asthma C. A 50 y.o. postmenopausal woman D. A 28 y.o. with angina Correct Answer: C. A 50 y.o.… Read More »
A client received a kidney transplant 2 months ago. He’s admitted to the hospital with the diagnosis of acute rejection. Which of the following assessment findings would be expected? A. Hypotension B. Normal body temperature C. Decreased WBC count D. Elevated BUN and creatinine levels Correct Answer:… Read More »