A client is scheduled to undergo a transurethral resection of the prostate gland (TURP). The procedure is to be done under spinal anesthesia. Postoperatively, the nurse should be particularly alert for early signs of: A. Convulsions B. Cardiac arrest C. Renal shutdown D. Respiratory paralysis Correct Answer:… Read More »
You suspect kidney transplant rejection when the patient shows which symptoms? A. Pain in the incision, general malaise, and hypotension. B. Pain in the incision, general malaise, and depression. C. Fever, weight gain, and diminished urine output. D. Diminished urine output and hypotension. Correct Answer: C. Fever,… Read More »
Which of the following interventions would be most appropriate for preventing the development of a paralytic ileus in a client who has undergone renal surgery? A. Encourage the client to ambulate every 2 to 4 hours. B. Offer 3 to 4 ounces of a carbonated beverage periodically. C. Encourage use of a… Read More »
The nurse is caring for a hospitalized client who has chronic renal failure. Which of the following nursing diagnoses are most appropriate for this client? Select all that apply. A. Excess Fluid Volume B. Imbalanced Nutrition; Less than Body Requirements C. Activity Intolerance D. Impaired Gas Exchange E. Pain … Read More »
Your patient returns from the operating room after abdominal aortic aneurysm repair. Which symptom is a sign of acute renal failure? A. Anuria B. Diarrhea C. Oliguria D. Vomiting Correct Answer: C. Oliguria Urine output less than 50ml in 24 hours signifies oliguria, an early sign of… Read More »
The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. Which of the following findings would be most important for the nurse to report to the physician? A. Temperature, 99.8°F B. Urine output, 20 ml/hour C. Absence of bowel sounds D. A 2×2 inch… Read More »
What is the primary disadvantage of using peritoneal dialysis for long-term management of chronic renal failure? A. The danger of hemorrhage is high. B. It cannot correct severe imbalances. C. It is a time-consuming method of treatment. D. The risk of contracting hepatitis is high. Correct Answer:… Read More »
Which cause of hypertension is the most common in acute renal failure? A. Pulmonary edema B. Hypervolemia C. Hypovolemia D. Anemia Correct Answer: B. Hypervolemia Acute renal failure causes hypervolemia as a result of overexpansion of extracellular fluid and plasma volume with the hypersecretion of renin. Therefore,… Read More »
Because a client’s renal stone was found to be composed of uric acid, a low-purine, alkaline ash diet was ordered. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications? A. Milk, apples, tomatoes, and corn. B. Eggs, spinach, dried peas,… Read More »
The dialysis solution is warmed before use in peritoneal dialysis primarily to: A. Encourage the removal of serum urea. B. Force potassium back into the cells. C. Add extra warmth into the body. D. Promote abdominal muscle relaxation. Correct Answer: A. Encourage the removal of serum urea.… Read More »