A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is included in this client’s plan of care? A. Keep the AV fistula site dry. B. Keep the AV fistula wrapped in… Read More »
You expect a patient in the oliguric phase of renal failure to have a 24 hour urine output less than: A. 200ml B. 400ml C. 800ml D. 1000ml Correct Answer: B. 400ml Oliguria is defined as urine output of less than 400ml/24hours. Renal causes of oliguria arise… Read More »
The nurse is receiving in transfer from the postanesthesia care unit a client who has had percutaneous ultrasonic lithotripsy for calculuses in the renal pelvis. The nurse anticipates that the client’s care will involve monitoring which of the following? A. Suprapubic tube B. Urethral stent C. Nephrostomy tube D. Jackson-Pratt drain… Read More »
Which of the following factors causes the nausea associated with renal failure? A. Oliguria B. Gastric ulcers C. Electrolyte imbalances D. Accumulation of waste products Correct Answer: D. Accumulation of waste products Although clients with renal failure can develop stress ulcers, the nausea is usually related to… Read More »
The most common early sign of kidney disease is: A. Sodium retention B. Elevated BUN level C. Development of metabolic acidosis D. Inability to dilute or concentrate urine Correct Answer: B. Elevated BUN level Increased BUN is usually an early indicator of decreased renal function. Although, immediately… Read More »
The client is admitted to the ER following a MVA. The client was wearing a lap seat belt when the accident occurred. The client has hematuria and lower abdominal pain. To determine further whether the pain is due to bladder trauma, the nurse asks the client if the pain is referred to which of the… Read More »
Which of the following clients is at greatest risk for developing acute renal failure? A. A dialysis client who gets influenza. B. A teenager who has an appendectomy. C. A pregnant woman who has a fractured femur. D. A client with diabetes who has a heart catheterization. … Read More »
A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects? A. Overflow B. Reflex C. Stress D. Urge Correct Answer: C. Stress Stress incontinence is an involuntary loss of a small amount of urine due to… Read More »
The client complains of fever, perineal pain, and urinary urgency, frequency, and dysuria. To assess whether the client’s problem is related to bacterial prostatitis, the nurse would look at the results of the prostate examination, which should reveal that the prostate gland is: A. Tender, indurated, and warm to the touch B. Soft… Read More »
In a client with renal failure, which assessment finding may indicate hypocalcemia? A. Headache B. Serum calcium level of 5 mEq/L C. Increased blood coagulation D. Diarrhea Correct Answer: D. Diarrhea In renal failure, calcium absorption from the intestine declines, leading to increased smooth muscle contractions, causing… Read More »