The nurse is preparing to care for the client following a renal scan. Which of the following would the nurse include in the plan of care? A. Place the client on radiation precautions for 18 hours. B. Save all urine in a radiation safe container for 18 hours. C. Limit contact with… Read More »
The client newly diagnosed with chronic renal failure recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse assesses the client during dialysis for: A. Hypertension, tachycardia, and fever. B. Hypotension, bradycardia, and hypothermia. C. Restlessness, irritability, and generalized weakness. D. Headache, deteriorating level of… Read More »
A patient diagnosed with sepsis from a UTI is being discharged. What do you plan to include in her discharge teaching? A. Take cool baths. B. Avoid tampon use. C. Avoid sexual activity. D. Drink 8 to 10 eight-oz glasses of water daily. Correct Answer: D. Drink… Read More »
The client passes a urinary stone, and lab analysis of the stone indicates that it is composed of calcium oxalate. Based on this analysis, which of the following would the nurse specifically include in the dietary instructions? A. Increase intake of meat, fish, plums, and cranberries. B. Avoid citrus fruits and citrus juices.… Read More »
A client with chronic renal failure has completed a hemodialysis treatment. The nurse would use which of the following standard indicators to evaluate the client’s status after dialysis? A. Potassium level and weight. B. BUN and creatinine levels. C. VS and BUN. D. VS and weight. Correct… Read More »
You’re planning your medication teaching for your patient with a UTI prescribed phenazopyridine (Pyridium). What do you include? A. “Take this drug between meals and at bedtime.” B. “You need to take this antibiotic for 7 days.” C. “Your urine might turn bright orange.” D. “Don’t take this drug if you’re… Read More »
The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following would the nurse include in the client’s postoperative care? A. Sterile irrigation of the Penrose drain. B. Frequent dressing changes around the Penrose drain. C. Weighing… Read More »
The hemodialysis client with a left-arm fistula is at risk for steal syndrome. The nurse assesses this client for which of the following clinical manifestations? A. Warmth, redness, and pain in the left hand. B. Pallor, diminished pulse, and pain in the left hand. C. Edema and reddish discoloration of the left… Read More »
Which finding leads you to suspect acute glomerulonephritis in your 32 y.o. patient? A. Dysuria, frequency, and urgency B. Back pain, nausea, and vomiting C. Hypertension, oliguria, and fatigue D. Fever, chills, and right upper quadrant pain radiating to the back Correct Answer: C. Hypertension, oliguria, and… Read More »
The nurse is caring for a client following a kidney transplant. The client develops oliguria. Which of the following would the nurse anticipate to be prescribed as the treatment of oliguria? A. Encourage fluid intake B. Administration of diuretics C. Irrigation of Foley catheter D. Restricting fluids … Read More »