The nurse helps the client with chronic renal failure develop a home diet plan with the goal of helping the client maintain adequate nutritional intake. Which of the following diets would be most appropriate for a client with chronic renal failure? A. High carbohydrate, high protein B. High calcium, high potassium, high protein… Read More »
You have a patient that is receiving peritoneal dialysis. What should you do when you notice the return fluid is slowly draining? A. Check for kinks in the outflow tubing. B. Raise the drainage bag above the level of the abdomen. C. Place the patient in a reverse Trendelenburg position. D.… Read More »
The client is to undergo kidney transplantation with a living donor. Which of the following preoperative assessments is important? A. Urine output B. Signs of graft rejection C. Signs and symptoms of infection D. Client’s support system and understanding of lifestyle changes. Correct Answer: D. Client’s support… Read More »
A client with BPH is being treated with terazosin (Hytrin) 2 mg at bedtime. The nurse should monitor the client’s: A. Urinary nitrites B. White blood cell count C. Blood pressure D. Pulse Correct Answer: C. Blood pressure Terazosin (Hytrin) is an antihypertensive drug that is also… Read More »
Immunosuppression following kidney transplantation is continued: A. For life B. 24 hours after transplantation C. A week after transplantation D. Until the kidney is not anymore rejected Correct Answer: A. For life. After an organ transplant, the client will need to take immunosuppressant (anti-rejection) drugs. These drugs… Read More »
During a client’s urinary bladder catheterization, the bladder is emptied gradually. The best rationale for the nurse’s action is that completely emptying an overdistended bladder at one time tends to cause: A. Renal failure B. Abdominal cramping C. Possible shock D. Atrophy of bladder musculature Correct Answer:… Read More »
A client with chronic renal failure has asked to be evaluated for a home continuous ambulatory peritoneal dialysis (CAPD) program. The nurse should explain that the major advantage of this approach is that it: A. Is relatively low in cost. B. Allows the client to be more independent. C. Is faster and… Read More »
What is the appropriate infusion time for the dialysate in your 38 y.o. patient with chronic renal failure undergoing peritoneal dialysis? A. 15 minutes B. 30 minutes C. 1 hour D. 2 to 3 hours Correct Answer: A. 15 minutes Dialysate should be infused quickly. The dialysate… Read More »
A client had a transurethral prostatectomy for benign prostatic hypertrophy. He’s currently being treated with a continuous bladder irrigation and is complaining of an increase in severity of bladder spasms. Which of the interventions should be done first? A. Administer an oral analgesic. B. Stop the irrigation and call the physician. C.… Read More »
A client underwent a TURP, and a large three-way catheter was inserted into the bladder with continuous bladder irrigation. In which of the following circumstances would the nurse increase the flow rate of the continuous bladder irrigation? A. When the drainage is continuous but slow. B. When the drainage appears cloudy and dark… Read More »