A patient returns from surgery with an indwelling urinary catheter in place and empty. Six hours later, the volume is 120ml. The drainage system has no obstructions. Which intervention has priority? A. Give a 500 ml bolus of isotonic saline. B. Evaluate the patient’s circulation and vital signs. C. Flush the urinary… Read More »
Allopurinol (Zyloprim), 200 mg/day, is prescribed for the client with renal calculi to take home. The nurse should teach the client about which of the following side effects of this medication? A. Retinopathy B. Maculopapular rash C. Nasal congestion D. Dizziness Correct Answer: B. Maculopapular rash Allopurinol… Read More »
During the client’s dialysis, the nurse observes that the solution draining from the abdomen is consistently blood-tinged. The client has a permanent peritoneal catheter in place. Which interpretation of this observation would be correct? A. Bleeding is expected with a permanent peritoneal catheter. B. Bleeding indicates abdominal blood vessel damage. C. Bleeding… Read More »
You’re preparing for urinary catheterization of a trauma patient and you observe bleeding at the urethral meatus. Which action has priority? A. Irrigate and clean the meatus before catheterization. B. Check the discharge for occult blood before catheterization. C. Heavily lubricate the catheter before insertion. D. Delay catheterization and notify the… Read More »
The client has a clinic appointment scheduled 10 days after discharge. Which laboratory finding at that time would indicate that allopurinol (Zyloprim) has had a therapeutic effect? A. Decreased urinary alkaline phosphatase level B. Increased urinary calcium excretion C. Increased serum calcium level D. Decreased serum uric acid level … Read More »
Which of the following nursing interventions should be included in the client’s care plan during dialysis therapy? A. Limit the client’s visitors. B. Monitor the client’s blood pressure. C. Pad the side rails of the bed. D. Keep the client NPO. Correct Answer: B. Monitor the client’s… Read More »
What change indicates recovery in a patient with nephrotic syndrome? A. Disappearance of protein from the urine. B. Decrease in blood pressure to normal. C. Increase in serum lipid levels. D. Gain in body weight. Correct Answer: A. Disappearance of protein from the urine. With nephrotic syndrome,… Read More »
When developing a plan of care for the client with stress incontinence, the nurse should take into consideration that stress incontinence is best defined as the involuntary loss of urine associated with: A. A strong urge to urinate. B. Overdistention of the bladder. C. Activities that increase abdominal pressure. D. Obstruction… Read More »
Aluminum hydroxide gel (Amphojel) is prescribed for the client with chronic renal failure to take at home. What is the purpose of giving this drug to a client with chronic renal failure? A. To relieve the pain of gastric hyperacidity. B. To prevent Curling’s stress ulcers. C. To bind phosphorus in the… Read More »
Which statement correctly distinguishes renal failure from prerenal failure? A. With prerenal failure, vasoactive substances such as dopamine (Intropin) increase blood pressure. B. With prerenal failure, there is less response to such diuretics as furosemide (Lasix). C. With prerenal failure, an IV isotonic saline infusion increases urine output. D. With prerenal… Read More »