ATI Renal Med Surg Flashcards

Serum creatinine - Produced due to protein and muscle breakdown Serum creatinine - This will be elevated in the event of kidney disease. Kidney function loss has to be at least 50%. BUN - Blood urea nitrogen. Results from breakdown of protein in the liver BUN - Factors that affect this are:...

A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? a. bowel sounds b. WBC count c. pain level d. blood pressure - d. blood pressure The greatest risk to the client is acute adrenal i...

Lab Tests: Serum Creatinine - protein & muscle breakdown - CKD is the ONLY CONDITION that INCREASES serum levels - kidney function loss of at least 50% causes increase - values remain constant in older adults unless diagnosed with KD Normal Values: Males = 0.6 - 1.2 mg/dL Females = 0.5...

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain which of the following is a priority nursing action? A) Relieve the client's pain B) Encourage the client to increase fluid intake C) Monitor the client's I and O D) Strain the clients urine - A) ...

A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. Upon detecting an output obstruction, which of the following actions should the nurse take first? - Check the irrigation tubing for kinks A nurse is providing instructions reg...

A nurse is reinforcing teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse include? - "The procedure determines whether you have a kidney stone." KUB can Identify renal calculi, stricture, Ca deposits and obstruction. (N...

A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? a. bowel sounds b. WBC count c. pain level d. blood pressure - d. blood pressure The greatest risk to the client is acute adrenal i...

A 55 year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury? a) post-renal b) intra-renal c) pre-renal d) intrinsic renal - c) pre-renal A 50 year old female is admitted to the ED with a diagnosis of acute MI. She tells the nurse...

Laboratory Tests Blood Creatinine - Results from protein and muscle breakdown; only happens from kidney disease Males- .6-1.2 Females- .5-1.1 Laboratory Tests Blood urea nitrogen (BUN) - Results from the breakdown of protein in the liver; Dehydration, infection, chemo, steroid therapy and r...

A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take? a. Document findings and continue to monitor the client. b. Contact the provider and recommend a 24-hour urine test. c. Review the clients recent dietary selections. d. Perfo...

A nurse is collecting data from a client who has an injury to the lower abdomen following a motor-vehicle crash. The nurse should identify that which of the following findings is a manifestation of bladder trauma? - Hematuria A nurse is reinforcing teaching with a newly licensed nurse about carin...

A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following statements should indicate to the nurse the need for additional instructions? - "I will use a vaginal douche daily" [The client should avoid vaginal douches, bubble baths, and any substances that can inc...

A nurse is completing the admission assessment of a client who has renal calculi. Which of the following findings should the nurse expect? a. bradycardia b. diaphoresis c. nocturia d. bradypnea - B. diaphoresis A nurse is reviewing discharge instructions with a client who had spontaneous pa...

A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? A. Bowel sounds B. WBC count C. Pain level D. Blood pressure - D. Blood Pressure The greatest risk to the client is acute adr...