ATI exam 4 Renal UPDATED Study Guide
QUESTIONSAND CORRECT ANSWSER
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and
bladder. Which of the following statements should the nurse include in the
teaching?
A. "you will receive contrast dye during the procedure."
B. "An enema is necessary before the procedure."
C. "you will need to lie in a prone position during the procedure."
D. "The procedure determines whether you have a kidney stone." - CORRECT
ANSWERS D. CORRECT: The nurse should explain to the client that a
KUB can identify renal calculi, strictures, calcium deposits, and obstructions of
the urinary system.
A nurse is monitoring a client who had a kidney biopsy for postoperative
complications. Which of the following complications should the nurse identify
as causing the greatest risk to the client?
A. Infection
B. Hemorrhage
C. Hematuria
D. Pain - CORRECT ANSWERS B. CORRECT: The greatest risk to the
client following a kidney biopsy is hemorrhage due to a lack of clotting at the
puncture site. The nurse should report this finding to the provider immediately.
A nurse has a client who has type 2 diabetes mellitus and will have excretory
urography. Prior to the procedure, 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. - CORRECT ANSWERS A, B, C, E
A nurse administered captopril to a client during a renal scan. Which of the
following actions should the nurse take?
A. Assess for hypertension.
B. Limit the client's fluid intake.
C. Monitor for orthostatic hypotension.
D. Encourage early ambulation - CORRECT ANSWERS C. CORRECT:
The nurse should monitor for orthostatic hypotension because this is an adverse
effect of captopril. This results in a change in blood flow to the kidneys after the
initial dose.
A nurse is reviewing the results of a client's urinalysis. The findings indicate the
urine is positive for leukocyte esterase and nitrites. Which of the following
actions should the nurse take?
A. Repeat the test early the next morning.
B. Start a 24-hr urine collection for creatinine clearance.
C. Obtain a clean-catch urine specimen for culture and sensitivity.
D. Insert an indwelling catheter urinary catheter to collect a urine specimen. -
CORRECT ANSWERS C. CORRECT: The nurse should obtain a
clean-catch urine specimen for culture and sensitivity. This test will identify
which antibiotic will be most effective for treating the client's urinary tract
infection.
A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. Which of the following information should the nurse include in
the teaching?
A. Hemodialysis restores kidney function.
B. Hemodialysis replaces hormonal function of the renal system.
C. Hemodialysis allows an unrestricted diet.
QUESTIONSAND CORRECT ANSWSER
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and
bladder. Which of the following statements should the nurse include in the
teaching?
A. "you will receive contrast dye during the procedure."
B. "An enema is necessary before the procedure."
C. "you will need to lie in a prone position during the procedure."
D. "The procedure determines whether you have a kidney stone." - CORRECT
ANSWERS D. CORRECT: The nurse should explain to the client that a
KUB can identify renal calculi, strictures, calcium deposits, and obstructions of
the urinary system.
A nurse is monitoring a client who had a kidney biopsy for postoperative
complications. Which of the following complications should the nurse identify
as causing the greatest risk to the client?
A. Infection
B. Hemorrhage
C. Hematuria
D. Pain - CORRECT ANSWERS B. CORRECT: The greatest risk to the
client following a kidney biopsy is hemorrhage due to a lack of clotting at the
puncture site. The nurse should report this finding to the provider immediately.
A nurse has a client who has type 2 diabetes mellitus and will have excretory
urography. Prior to the procedure, 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. - CORRECT ANSWERS A, B, C, E
A nurse administered captopril to a client during a renal scan. Which of the
following actions should the nurse take?
A. Assess for hypertension.
B. Limit the client's fluid intake.
C. Monitor for orthostatic hypotension.
D. Encourage early ambulation - CORRECT ANSWERS C. CORRECT:
The nurse should monitor for orthostatic hypotension because this is an adverse
effect of captopril. This results in a change in blood flow to the kidneys after the
initial dose.
A nurse is reviewing the results of a client's urinalysis. The findings indicate the
urine is positive for leukocyte esterase and nitrites. Which of the following
actions should the nurse take?
A. Repeat the test early the next morning.
B. Start a 24-hr urine collection for creatinine clearance.
C. Obtain a clean-catch urine specimen for culture and sensitivity.
D. Insert an indwelling catheter urinary catheter to collect a urine specimen. -
CORRECT ANSWERS C. CORRECT: The nurse should obtain a
clean-catch urine specimen for culture and sensitivity. This test will identify
which antibiotic will be most effective for treating the client's urinary tract
infection.
A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. Which of the following information should the nurse include in
the teaching?
A. Hemodialysis restores kidney function.
B. Hemodialysis replaces hormonal function of the renal system.
C. Hemodialysis allows an unrestricted diet.
