RN Targeted Medical Surgical Renal and Urinary Online Practice 2019 Exam Questions and Answers 100% Pass

RN Targeted Medical Surgical Renal and Urinary Online Practice 2019 Exam Questions and Answers 100% Pass 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? - Answer️️ -sore throat Prednisone depresses immune system and increase risk of infection such as sore throat. a nurse is planning education about cyclosporine for a client who had a kidney transplant 2 days ago. which of the following statements should the nurse plan to include? "You might have hair loss due to the medication therapy you'll be taking." "You will need to continue taking this medication to protect your new kidneys." "Use an over-the-counter anti-inflammatory medication for aches and pains." "Your risk for infection will increase if you stop taking this medication." - Answer️️ -"you will need to continue taking this medication to protect your new kidneys" a nurse is assessing a client who has chronic kidney disease and has completed the third peritoneal dialysis (PD) treatment. which of the following findings should the nurse report to the provider? Greater outflow of dialysate than inflow Weight loss Cloudy dialysate effluent Report of pain during inflow - Answer️️ -cloudy dialysate effluent. Cloudy or opaque drainage is an early manifestation of peritonitis. The nurse should notify the provider immediately because infection can be a life-threatening complication. 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 History of hemophilia Difficulty with ambulation Decreased WBC count Iodine allergy - Answer️️ -history of hemophilia The nurse should identify that a history of a major bleeding disorder is a contraindication for hemodialysis. A client who has hemophilia bleeds excessively following minor breaks in the skin and is at high risk for extreme blood loss during hemodialysis treatment. 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? Initiate an IV infusion of lactated Ringer's solution. Give spironolactone 50 mg PO BID. Infuse regular insulin in dextrose 10% in water. Administer supplemental phosphorus. - Answer️️ -infuse regular insulin in dextrose 10% in water a nurse is obtaining a urine specimen for culture and sensitivity for a client who has manifestations of a urinary tract infection. which of the following actions should the nurse take? Collect the client's urine in a clean specimen container. Instruct the client to start urinating then pass the container into the stream. Obtain the client's first morning urine on the following day. Place the client's urine specimen in a container with a preservative. - Answer️️ - instruct the client to start urinating then pass the container into the stream a nurse is providing instructions for reducing the dietary intake of potassium to a client who has chronic kidney disease. which of the following client food selections indicates an understanding of the teaching? 1 cup cubed cantaloupe 1 cup boiled spinach One medium baked potato One large raw apple - Answer️️ -one large raw apple. Of these options, one large apple is the lowest in potassium, containing 239 mg per serving. The nurse should instruct the client that there are foods from each of the food groups that are low in potassium and can be consumed, such as bread, eggs, butter, and green beans. a nurse is providing discharge teaching to a client who has chronic kidney disease (CKD). which of the following statements by the client indicates an understanding of the teaching? "I will consume foods that are high in protein." "I will decrease my intake of foods that are high in phosphorus." "I will limit my intake of foods that are high in iron." "I will add salt to the foods I consume." - Answer️️ -"i will decrease my intake of foods that are high in phosphorus." A client who has CKD should limit their intake of foods that are high in phosphorus to prevent bone damage. a nurse is teaching a client who has urge urinary incontinence about bladder retraining. which of the following instructions should the nurse include? "If you are unable to urinate, sit on the toilet every 4 hours with water running in the sink." "Increase the intervals between urination by 15 minutes per day when able to remain continent." "Immediately empty your bladder when you have the urge to urinate." "If you are unable to urinate, plan to self-catheterize every 3 to 4 hours." - Answer️️ - "increase the intervals between urination by 15 minutes per day when able to remain continent" The goal is to have 3- to 4-hr intervals between urination. a nurse is teaching a client who has a diagnosis of acute pyelonephritis. which of the following instructions should the nurse include in the teaching? Drink up to 1,500 mL of fluid per day. Avoid the use of NSAIDs for pain. Check peripheral blood glucose levels twice per day. Increase dietary protein intake. - Answer️️ -avoid the use of NSAIDs for pain because they can further damage the kidney, causing papillary necrosis and reflux. 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? WBC count 15,000/mm3 BUN 15 mg/dL Urine specific gravity 1.020 Urine pH 5.5 - Answer️️ -WBC count 15,000/mm3 It indicates infection and as an indication of pyelonephritis. 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? Irrigate the catheter with 0.9% sodium chloride irrigation. Notify the provider. Check the irrigation tubing for kinks. Provide PRN pain medication. - Answer️️ -check the irrigation tubing for kinks a nurse is reviewing laboratory report of a client who has acute kidney inju