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1. 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
2. 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.
3. 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
4. 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.
5. A nurse is caring for a client who is scheduled for an intravenous urography.
Which of the following interventions is the nurse's priority? - Correct
Answer: Determine if the client has an allergy to iodine or shellfish.
,6. A nurse is assessing a client who has chronic kidney disease and has
completed her third peritoneal dialysis (PD) treatment. Which of the
following findings should the nurse report to the provider? - Correct
Answer: Cloudy dialysate effluent
7. A nurse is reviewing the medical records of four clients. The nurse should
identify which of the following disorders as a risk factor for chronic
pyelonephritis? - Correct Answer: Diabetes mellitus
8. A nurse is providing education regarding cyclosporine for a client who had a
kidney transplant 2 days ago. Which of the following statements should the
nurse make? - Correct Answer: "You will need to continue taking this
medication to protect your new kidneys."
9. A nurse is teaching a client who has a new diagnosis of acute
pyelonephritis. Which of the following instructions should the nurse include
in the teaching? - Correct Answer: Avoid the use of NSAIDs for pain.
10.A nurse is reviewing the medical history of a client who has end-stage
kidney disease. The nurse should identify that which of the following factors
in the client's history is a contraindication for receiving hemodialysis? -
Correct Answer: History of hemophilia
11.A nurse in an emergency department is caring for a client who reports
costovertebral angle tenderness, nausea, and vomiting. Which of the
, following laboratory values should the nurse report to the provider? -
Correct Answer: WBC 15,000/mm3
12.A nurse is obtaining a urine specimen for culture and sensitivity from a
client who has manifestations of a urinary tract infection. Which of the
following actions should the nurse take? - Correct Answer: Instruct the
client to start urinating then pass the container into the stream.
13.A nurse is planning care for a group of clients. Which of the following clients
should the nurse plan to monitor for signs of nephrotoxicity? - Correct
Answer: A client who is receiving gentamicin for the treatment of a wound
infection
14.A nurse is caring for a client following extracorporeal shock wave lithotripsy
(ESWL) for the treatment of calcium phosphate kidney stones. Which of the
following actions should the nurse take? - Correct Answer: Strain all of
the client's urine.
15.A nurse in a women's health clinic is caring for a client who reports urinary
urgency and dysuria. Which of the following additional findings should the
nurse identify as an indication of a urinary tract infection (UTI)? -
Correct Answer: Pyuria
16.A nurse is performing an admission assessment of a client who has severe
chronic kidney disease (CKD). Which of the following findings should the
nurse expect? - Correct Answer: The nurse should expect a client who
has severe CKD to have tachypnea due to metabolic acidosis.
, 17.A nurse is providing teaching to a client who has chronic kidney disease
(CKD). Which of the following statements by the client indicates an
understanding of the teaching? - Correct Answer: weight daily
18.A nurse is monitoring a client following hemodialysis. The nurse should
recognize that which of the following factors places the client at risk for
seizures? - Correct Answer: A rapid decrease in fluid
19.A nurse is planning care for a client who is postoperative following a
nephrectomy. Which of the following assessments is the nurse's priority? -
Correct Answer: The greatest risk to the client is injury from acute
adrenal insufficiency caused by accidental removal or damage to the
adrenal gland intraoperatively. The nurse should evaluate the client for
hypotension and for a decrease in urine output.
20.A nurse in the emergency department is caring for a client who report
costovertebral angle tenderness, nausea, and vomiting. Which of the
following laboratory values should the nurse report to the provider? -
Correct Answer: WBC count 15,000
21.A nurse is assessing a client who has a chronic kidney disease and has
completed the third peritoneal dialysis treatment. Which of the following
finding should the nurse report to the provider? - Correct Answer:
Cloudy dialysate effluent