ATI exam 4 Renal
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1. A nurse is teaching a client who will have an x‑ray of the D. CORRECT: The nurse
kidneys, ureters, and bladder. Which of the following should explain to the client
statements should the nurse include in the teaching? that a KUB can identify re-
A. "you will receive contrast dye during the proce- nal calculi, strictures, calci-
dure." um deposits, and obstruc-
B. "An enema is necessary before the procedure." tions of the urinary system.
C. "you will need to lie in a prone position during the
procedure."
D. "The procedure determines whether you have a
kidney stone."
2. A nurse is monitoring a client who had a kidney biopsy B. CORRECT: The greatest
for postoperative complications. Which of the follow- risk to the client following
ing complications should the nurse identify as causing a kidney biopsy is hemor-
the greatest risk to the client? rhage due to a lack of clot-
A. Infection ting at the puncture site.
B. Hemorrhage The nurse should report
C. Hematuria this finding to the provider
D. Pain immediately.
3. A nurse has a client who has type 2 diabetes mellitus A, B, C, E
and will have excretory urography. Prior to the proce-
dure, which of the following actions should the nurse
take? (Select all that apply.)
A. Identify an allergy to seafood.
B. Withhold metformin for 24 hr.
C. Administer an enema.
D. Obtain a serum coagulation profile.
E. Assess for asthma.
4. A nurse administered captopril to a client during a C. CORRECT: The nurse
renal scan. Which of the following actions should the should monitor for or-
, ATI exam 4 Renal
Study online at https://quizlet.com/_d3j158
nurse take? thostatic hypotension be-
A. Assess for hypertension. cause this is an adverse ef-
B. Limit the client's fluid intake. fect of captopril. This re-
C. Monitor for orthostatic hypotension. sults in a change in blood
D. Encourage early ambulation flow to the kidneys after
the initial dose.
5. A nurse is reviewing the results of a client's urinalysis. C. CORRECT: The nurse
The findings indicate the urine is positive for leukocyte should obtain a clean‑-
esterase and nitrites. Which of the following actions catch urine specimen for
should the nurse take? culture and sensitivity. This
A. Repeat the test early the next morning. test will identify which an-
B. Start a 24‑hr urine collection for creatinine clear- tibiotic will be most effec-
ance. tive for treating the client's
C. Obtain a clean‑catch urine specimen for culture and urinary tract infection.
sensitivity.
D. Insert an indwelling catheter urinary catheter to
collect a urine specimen.
6. A nurse is teaching a client who has chronic kidney D. CORRECT: The nurse
disease and is to begin hemodialysis. Which of the should explain to the
following information should the nurse include in the client that hemodialysis
teaching? restores electrolyte bal-
A. Hemodialysis restores kidney function. ance by removing excess
B. Hemodialysis replaces hormonal function of the re- sodium, potassium, fluids,
nal system. and waste products, and
C. Hemodialysis allows an unrestricted diet. also restores acid‐base
D. Hemodialysis returns a balance to serum elec- balance.
trolytes.
7. A nurse is preparing to initiate hemodialysis for a client A, B, D, E
who has acute kidney injury. Which of the following
Study online at https://quizlet.com/_d3j158
1. A nurse is teaching a client who will have an x‑ray of the D. CORRECT: The nurse
kidneys, ureters, and bladder. Which of the following should explain to the client
statements should the nurse include in the teaching? that a KUB can identify re-
A. "you will receive contrast dye during the proce- nal calculi, strictures, calci-
dure." um deposits, and obstruc-
B. "An enema is necessary before the procedure." tions of the urinary system.
C. "you will need to lie in a prone position during the
procedure."
D. "The procedure determines whether you have a
kidney stone."
2. A nurse is monitoring a client who had a kidney biopsy B. CORRECT: The greatest
for postoperative complications. Which of the follow- risk to the client following
ing complications should the nurse identify as causing a kidney biopsy is hemor-
the greatest risk to the client? rhage due to a lack of clot-
A. Infection ting at the puncture site.
B. Hemorrhage The nurse should report
C. Hematuria this finding to the provider
D. Pain immediately.
3. A nurse has a client who has type 2 diabetes mellitus A, B, C, E
and will have excretory urography. Prior to the proce-
dure, which of the following actions should the nurse
take? (Select all that apply.)
A. Identify an allergy to seafood.
B. Withhold metformin for 24 hr.
C. Administer an enema.
D. Obtain a serum coagulation profile.
E. Assess for asthma.
4. A nurse administered captopril to a client during a C. CORRECT: The nurse
renal scan. Which of the following actions should the should monitor for or-
, ATI exam 4 Renal
Study online at https://quizlet.com/_d3j158
nurse take? thostatic hypotension be-
A. Assess for hypertension. cause this is an adverse ef-
B. Limit the client's fluid intake. fect of captopril. This re-
C. Monitor for orthostatic hypotension. sults in a change in blood
D. Encourage early ambulation flow to the kidneys after
the initial dose.
5. A nurse is reviewing the results of a client's urinalysis. C. CORRECT: The nurse
The findings indicate the urine is positive for leukocyte should obtain a clean‑-
esterase and nitrites. Which of the following actions catch urine specimen for
should the nurse take? culture and sensitivity. This
A. Repeat the test early the next morning. test will identify which an-
B. Start a 24‑hr urine collection for creatinine clear- tibiotic will be most effec-
ance. tive for treating the client's
C. Obtain a clean‑catch urine specimen for culture and urinary tract infection.
sensitivity.
D. Insert an indwelling catheter urinary catheter to
collect a urine specimen.
6. A nurse is teaching a client who has chronic kidney D. CORRECT: The nurse
disease and is to begin hemodialysis. Which of the should explain to the
following information should the nurse include in the client that hemodialysis
teaching? restores electrolyte bal-
A. Hemodialysis restores kidney function. ance by removing excess
B. Hemodialysis replaces hormonal function of the re- sodium, potassium, fluids,
nal system. and waste products, and
C. Hemodialysis allows an unrestricted diet. also restores acid‐base
D. Hemodialysis returns a balance to serum elec- balance.
trolytes.
7. A nurse is preparing to initiate hemodialysis for a client A, B, D, E
who has acute kidney injury. Which of the following
