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1. A nurse is providing teaching to a male client who has a continent internal
ileal reservoir (neobladder) following surgery to treat bladder cancer. Which
of the following statements should the nurse make? - Correct Answer:
"You must insert a catheter through your stoma to drain the urine."
2. A nurse is reviewing the laboratory report of a client who has acute kidney
injury (AKI). Which of the following findings should the nurse expect?
(Select all that apply.) - Correct Answer: BUN 30 mg/dL is correct. A BUN
level above the expected reference range is an expected finding of AKI.
3. Urine output 40 mL in the past 3 hr is correct. Hematocrit 30% is correct.
4. A nurse is providing discharge teaching for a client who has chronic kidney
disease (CKD). Which of the following statements should the nurse identify
as an indication that the client understands the teaching? - Correct
Answer: "I will decrease my intake of foods that are high in phosphorus."
5. A nurse is teaching a client who has urge urinary incontinence about
bladder retraining. Which of the following instructions should the nurse
, include? - Correct Answer: "Increase the intervals between urination by
15 minutes per day when able to remain continent."
6. A nurse is providing instructions for reducing the dietary intake of
potassium to a client who has chronic kidney disease. Which of the
following food selections should the nurse recommend? - Correct
Answer: One large raw apple
7. A nurse is preparing to assess a client who received hemodialysis 1 hr ago.
Which of the following assessments should the nurse perform first? -
Correct Answer: Vital signs
8. A nurse is caring for a client immediately following a kidney transplant. The
nurse should identify which of the following findings as a possible indication
of a delay in functioning of the transplanted kidney? - Correct Answer:
Urine output 30 mL/2 hr
9. A nurse is caring for a postoperative client following arteriovenous (AV)
fistula creation in her left arm. Which of the following actions should the
nurse take? - Correct Answer: Auscultate for bruits in the client's fistula
every 4 hr.
10.A nurse is caring for a client who is receiving 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? - Correct Answer: Check the irrigation tubing for kinks.
, 11.A nurse is planning care for a client who is scheduled for extracorporeal
shock wave lithotripsy (ESWL) to treat urolithiasis. Which of the following
actions should the nurse plan to take? - Correct Answer: Apply
electrodes for cardiac monitoring.
12.A nurse is caring for a client who has nephrotic syndrome and has been
taking prednisone for 3 days. Which of the following findings should the
nurse report to the provider as an adverse effect of prednisone? -
Correct Answer: Sore throat
13.A nurse is performing an admission assessment of a client who has acute
glomerulonephritis. The nurse should expect which of the following
findings? - Correct Answer: Dark-colored urine
14.A nurse is planning care for a client who has acute glomerulonephritis. The
nurse should plan to provide which of the following interventions? -
Correct Answer: Weigh the client daily.
15.A nurse is caring for a client who has acute kidney injury (AKI). Which of the
following serum laboratory findings should the nurse report to the
provider? - Correct Answer: Creatinine 4.0 mg/dL
16.A nurse is planning care for a client who has chronic kidney disease and a
potassium level of 7.3 mEq/L. Which of the following interventions should
the nurse plan to take? - Correct Answer: Infuse regular insulin in
dextrose 10% in water.