ATI Renal System

A09nurse09is09planning09care09for09a09client09who09is09postoperative09following09a09nephrectomy.09Whic

h09of09the09following09assessments09is09the09priority09for09the09nurse09to09evaluate?

A. Bowel09sounds

B. WBC09count

C. Pain09level

D. Blood09pressure

A09nurse09is09planning09care09for09a09client09who09has09acute09glomerulonephritis.09The09nurse09should0

plan09to09provide09which09of09the09following09interventions?
9



A. Weigh09the09client09daily

B. Encourage09the09client09to09drink09209to09309L09of09fluid09per09day.

C. Instruct09the09client09to09ambulate09every09209hr.

D. Obtain09the09client's09serum09blood09glucose.

A09nurse09is09planning09care09for09a09client09who09is09scheduled09to09undergo09extracorporeal09shock09

wave09lithotripsy09(ESWL)09for09urolithiasis.09Which09of09the09following09actions09should09the09nurse0

plan09to09take?
9



A. Place09the09client09in09a09semi-Fowler's09position.

B. Assist09with09the09client's09intubation.

C. Begin09a0924-hr09urine09specimen09collection09after09the09procedure.

D. Apply09electrodes09for09cardiac09monitoring.



A09nurse09is09planning09care09for09a09group09of09clients.09Which09of09the09following09clients09should09th

e09nurse09plan09to09monitor09for09signs09of09nephrotoxicity?

A. A09client09who09is09receiving09gentamicin09for09treatment09of09a09wound09infection

,B. A09client09who09is09receiving09digoxin09for09treatment09of09heart09failure

C. A09client09who09is09receiving09methylprednisolone09for09the09treatment09of09severe09asthma

D. A09client09who09is09receiving09propranolol09for09the09treatment09of09hypertension



A09nurse09is09reviewing09the09medical09records09of09four09clients.09Which09of09the09following09conditio

ns09is09a09risk09factor09for09chronic09pyelonephritis?

A. Parkinson's09disease

B. Diabetes09mellitus

C. Peptic09ulcer09disease

D. Gallbladder09disease



A09nurse09is09performing09an09admission09assessment09of09a09client09who09has09acute09glomeruloneph

ritis.09The09nurse09should09expect09which09of09the09following09findings?

A. Low09blood09pressure

B. Polyuria

C. Dark-colored09urine

D. Weight09loss



A09nurse09is09caring09for09a09client09who09has09chronic09kidney09failure09and09the09following09laborator
y09results:

BUN0919609mg/dL,09sodium0915209mEq/L,09and09potassium097.309mEq/L.09Which09of09the09following0

9interventions09should09the09nurse09implement?

A. Initiate09an09IV09infusion09of090.9%09sodium09chloride.

,B. Give09oral09spironolactone.

C. Infuse09regular09insulin09in09dextrose0910%09in09water.

D. Administer09furosemide.



A09nurse09is09caring09for09a09client09the09night09before09a09scheduled09intravenous09urography.09Which09

of09the09following09is09the09nurse's09priority09intervention?

A. Inform09the09client09about09dietary09limitations.

B. Place09the09informed09consent09document09in09the09client's09record.

C. Administer09a09bowel09preparation09to09the09client.

D. Determine09if09the09client09has09an09allergy09to09iodine09or09shellfish.



A09nurse09is09performing09an09admission09assessment09on09a09client09who09has09severe09chronic09kidn

ey09disease09(CKD).09Which09of09the09following09findings09should09the09nurse09expect09for09this09clie

nt?

A. Tachypnea

B. Hypotension

C. Exophthalmos

D. Insomnia

A09nurse09is09caring09for09a09client09who09has09a09nephrotic09syndrome09and09has09been09taking09prednis

one09for09309days.09Which09of09the09following09adverse09effects09should09the09nurse09monitor09for09and

09report09to09the

provider?

A. Sore09throat

B. Frequent09stools

, C. DrowsinessAKI

D. Tremors

A09nurse09is09reviewing09the09laboratory09reports09of09a09client09who09has09acute09kidney09injury09(AKI

).09Which09of09the09following09findings09should09the09nurse09expect?09(Select09all09that09apply.)

A. BUN093009mg/dL

B. Urine09output09of094009mL09in09past09309hr

C. Potassium093.609mEq/L

D. Serum09calcium099.809mg/dL

E. Hematocrit0930%



A09nurse09is09discussing09hemodialysis09with09a09newly09licensed09nurse.09The09nurse09should09identif

y09that09hemodialysis09is09contraindicated09for09which09of09the09following09clients?

A. A09client09who09cannot09receive09anticoagulants

B. A09client09who09is09unable09to09ambulate

C. A09client09who09is09immunocompromised

D. A09client09who09is09allergic09to09iodine

A09nurse09is09providing09teaching09for09a09client09to09urge09urinary09incontinence.09The09nurse09should09

include09which09of09the09following09instructions?

A. Sit09on09the09toilet09with09water09running09every09409hr.

B. Set09an09interval09for09toileting09based09on09previous09voiding09patterns.

C. Respond09immediately09to09the09urge09to09void.

D. Self-catheterize09daily09following09a09regular09voiding