ATI Renal Questions Flashcard.

ATI Renal Questions Flashcard
A00nurse00is00teaching00a00client00who00will00have00an00x-
ray00of00the00kidneys,00ureters,00and00bladder.00Which00of00the00following00statements00
should00the00nurse00include00in00the00teaching?
A.00"you00will00receive00contrast00dye00during00the00procedure."
B.00"An00enema00is00necessary00before00the00procedure."
C.00"you00will00need00to00lie00in00a00prone00position00during00the00procedure."
D.00"The00procedure00determines00whether00you00have00a00kidney00stone."00-
00A.00Clients00do00not00receive00any00contrast00dye00for00this00procedure,00as00they00wou
ld00for00excretory00urography.00B.00Clients00do00not00receive00an00enema00before00this00p
rocedure,00because00it00does00not00affect00the00gastrointestinal00system.00C.00The00clien
t00will00lie00supine,00not00prone.
D.00CORRECT:00The00nurse00should00explain00to00the00client00that00a00KUB00can00identif
y00renal00calculi,00strictures,00calcium00deposits,00and00obstructions00of00the00urinary00sy
stem.

A00nurse00is00monitoring00a00client00who00had00a00kidney00biopsy00for00postoperative00co
mplications.00Which00of00the00following00complications00should00the00nurse00identify00as
00causing00the00greatest00risk00to00the00client?
A.00Infection
B.00Hemorrhage
C.00Hematuria
D.00Pain00-
00A.00The00client00is00at00risk00for00infection00of00the00kidney00because00a00biopsy00is00a
n00invasive00procedure.00However,00another00complication00is00the00priority.
B.00CORRECT:00The00greatest00risk00to00the00client00following00a00kidney00biopsy00is00h
emorrhage00due00to00a00lack00of00clotting00at00the00puncture00site.00The00nurse00should00
report00this00finding00to00the00provider00immediately.
C.00The00client00is00at00risk00for00hematuria,00which00is00a00common00complication00the
00first004800to007200hr00after00the00biopsy.00However,00another00complication00is00the00p
riority.00D.00The00client00is00at00risk00for00pain00after00a00kidney00biopsy00because00bloo
d00in00and00around00the00kidney00causes00pressure00on00the00nerves00in00the00area;00h
owever,00another00complication00is00the00priority.

A00nurse00has00a00client00who00has00type00200diabetes00mellitus00and00will00have00excr
etory00urography.00Prior00to00the00procedure,00which00of00the00following00actions00shoul
d00the00nurse00take?00(Select00all00that00apply.)
A. Identify00an00allergy00to00seafood.
B. Withhold00metformin00for002400hr.
C. Administer00an00enema.
D. Obtain00a00serum00coagulation00profile.
E. Assess00for00asthma.00-
00A.00CORRECT:00Clients00who00have00an00allergy00to00seafood00are00at00higher00ris
k00for00an00allergic00reaction00to00the00contrast00dye00they00will00receive00during00the
00procedure.
B.00CORRECT:00Clients00who00take00metformin00are00at00risk00for00lactic00acidosis00fro
m00the00contrast00dye00with00iodine00they00will00receive00during00the00procedure.
C.00CORRECT:00Clients00should00receive00an00enema00to00remove00fecal00contents,00flu
id,00and00gas00from00the00colon00for00a00more00clear00visualization.

, D.00A00serum00coagulation00profile00is00essential00for00a00client00prior00to00a00kidney00bi
opsy00because00of00the00risk00of00hemorrhage00from00the00procedure.
E.00CORRECT:00Clients00who00have00asthma00have00a00higher00risk00of00an00exacerbati
on00as00an00allergic00response00to00the00contrast00dye00they00will00receive00during00the00
procedure.

A00nurse00administered00captopril00to00a00client00during00a00renal00scan.00Which00of00the0
0following00actions00should00the00nurse00take?
A.00Assess00for00hypertension.
B.00Limit00the00client's00fluid00intake.
C.00Monitor00for00orthostatic00hypotension.
D.00Encourage00early00ambulation00-
00A.00Captopril00is00an00antihypertensive00medication.00Assess00the00client00for00hypoten
sive00effects.
B.00Increasing00the00client's00fluid00intake00can00help00resolve00hypotensive00effects00foll
owing00the00administration00of00captopril.
C.00CORRECT:00The00nurse00should00monitor00for00orthostatic00hypotension00because0
0this00is00an00adverse00effect00of00captopril.00This00results00in00a00change00in00blood00flo
w00to00the00kidneys00after00the00initial00dose.
D.00The00client00is00at00risk00for00falls00when00ambulating00due00to00the00hypotensive00eff
ects00of00captopril.00The00nurse00should00encourage00the00client00to00remain00in00bed.

A00nurse00is00reviewing00the00results00of00a00client's00urinalysis.00The00findings00indicate0
0the00urine00is00positive00for00leukocyte00esterase00and00nitrites.00Which00of00the00followi
ng00actions00should00the00nurse00take?
A.00Repeat00the00test00early00the00next00morning.
B.00Start00a0024-hr00urine00collection00for00creatinine00clearance.
C.00Obtain00a00clean-catch00urine00specimen00for00culture00and00sensitivity.
D.00Insert00an00indwelling00catheter00urinary00catheter00to00collect00a00urine00specimen.00
-
00A.00Repeating00the00test00early00the00next00morning00will00not00change00the00urinalysis
00results.
B.00A0024-hr00urine00collection00for00creatinine00helps00to00determine00kidney00function.
C.00CORRECT:00The00nurse00should00obtain00a00clean-
catch00urine00specimen00for00culture00and00sensitivity.00This00test00will00identify00which00
antibiotic00will00be00most00effective00for00treating00the00client's00urinary00tract00infection.
D.00The00nurse00should00insert00a00urinary00catheter00to00collect00urine00when00a00client00
cannot00empty00his00bladder.

A00nurse00is00teaching00a00client00who00has00chronic00kidney00disease00and00is00to00beg
in00hemodialysis.00Which00of00the00following00information00should00the00nurse00include00i
n00the00teaching?
A.00Hemodialysis00restores00kidney00function.
B.00Hemodialysis00replaces00hormonal00function00of00the00renal00system.
C.00Hemodialysis00allows00an00unrestricted00diet.
D.00Hemodialysis00returns00a00balance00to00serum00electrolytes.00-
00A.00Hemodialysis00does00not00restore00kidney00function,00but00it00sustains00the00life00of
00a00client00who00has00kidney00disease.
B.00Hemodialysis00does00not00replace00hormonal00function00of00the00renal00system00due0
0to00tissue00damage00causing00dysfunction
of00the00renin‐angiotensin‐aldosterone00system.