The nurse is aware that the following laboratory values support a diagnosis of pyelonephritis? A. Myoglobinuria B. Ketonuria C. Pyuria D. Low white blood cell (WBC) count Correct Answer: C. Pyuria Pyelonephritis is diagnosed by the presence of leukocytosis, hematuria, pyuria, and bacteriuria. On urinalysis, one should… Read More »
A female client with suspected renal dysfunction is scheduled for excretory urography. Nurse January reviews the history for conditions that may warrant changes in client preparation. Normally, a client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding would call for the client to be well hydrated instead? A. Cystic fibrosis… Read More »
A female client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, nurse Sarah knows that the client is most likely to experience: A. Hematuria. B. Weight loss. C. Increased urine output. D. Increased blood pressure. Correct Answer: B. Weight loss. Because CRF causes… Read More »
Nurse Karen is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence? A. Encouraging intake of at least 2 L of fluid daily. B. Giving the client a glass of soda before bedtime. C. Taking the client to the bathroom twice per day. D.… Read More »
Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? A. Rashes on the palms of the hands and soles of the feet. B. Cauliflower-like warts on the penis. C. Painful red papules on the shaft of the penis. D.… Read More »
When examining a female client’s genitourinary system, Nurse Sandy assesses for tenderness at the costovertebral angle by placing the left hand over this area and striking it with the right fist. Normally, this percussion technique produces which sound? A. A flat sound B. A dull sound C. Hyperresonance D. Tympany … Read More »
Nurse Pete is reviewing the report of a client’s routine urinalysis. Which value should the nurse consider abnormal? A. Specific gravity of 1.03 B. Urine pH of 3.0 C. Absence of protein D. Absence of glucose Correct Answer: B. Urine pH of 3.0 Normal urine pH is… Read More »
A male client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should nurse Olivia assess first? A. Blood pressure B. Respirations C. Temperature D. Pulse Correct Answer: D. Pulse An elevated serum potassium level may lead to a life-threatening cardiac arrhythmia, which… Read More »
A male client is scheduled for a renal clearance test. Nurse Sheldon should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in: A. 1 minute. B. 30 minutes. C. 1 hour. D. 24 hours. Correct Answer: A.… Read More »
Nurse Harry is aware that the following is an appropriate nursing diagnosis for a client with renal calculi? A. Ineffective tissue perfusion B. Functional urinary incontinence C. Risk for infection D. Decreased cardiac output Correct Answer: C. Risk for infection Infection can occur with renal calculi from… Read More »