ATI Renal and Urinary System 2023
A nurse is planning care for a client who is postoperative following a nephrectomy.
Which of the following assessments is the priority for the nurse to evaluate?
A. Bowel sounds
B. WBC count
C. Pain level
D. Blood pressure - D. Blood Pressure
The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be
removed or damaged during nephrectomy. The nurse should evaluate the client for
hypotension, decreased urine output, and decreased level of consciousness.
A nurse is planning care for a client who has acute glomerulonephritis. The nurse
should plan to provide which of the following interventions?
A. Weigh the client daily
B. Encourage the client to drink 2 to 3 L of fluid per day.
C. Instruct the client to ambulate every 2 hr.
D. Obtain the client's serum blood glucose. - A. Weight the client daily
A. The nurse can monitor fluid retention by weighing the client daily.
A nurse is planning care for a client who is scheduled to undergo extracorporeal shock
wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse
plan to take?
A. Place the client in a semi-Fowler's position.
B. Assist with the client's intubation.
C. Begin a 24-hr urine specimen collection after the procedure.
D. Apply electrodes for cardiac monitoring. - D. Apply electrodes for cardiac monitoring
D. The nurse should apply electrodes for continuous monitoring of the client's cardiac
rhythm during ESWL. This monitoring allows the provider to deliver shock waves that
are synchronized with the R wave.
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?
A. A client who is receiving gentamicin for treatment of a wound infection
B. A client who is receiving digoxin for treatment of heart failure
, C. A client who is receiving methylprednisolone for treatment of severe asthma
D. A client who is receiving propranolol for treatment of hypertension - A. A client who is
receiving gentamicin for treatment of a wound infection
A. Aminoglycoside antibiotics can injure cells of the proximal renal tubules, causing
acute tubular necrosis. The nurse should plan to monitor this client for nephrotoxicity
and acute kidney injury.
A nurse is reviewing the medical records of four clients. Which of the following
conditions is a risk factor for chronic pyelonephritis?
A. Parkinson's disease
B. Diabetes mellitus
C. Peptic ulcer disease
D. Gallbladder disease - B. Diabetes mellitus
B. A client who has a history of diabetes mellitus is at risk for the development of
chronic pyelonephritis due to reduced bladder tone.
A nurse is performing an admission assessment of a client who has acute
glomerulonephritis. The nurse should expect which of the following findings?
A. Low blood pressure
B. Polyuria
C. Dark-colored urine
D. Weight loss - C. Dark-colored urine
C. The client who has acute glomerulonephritis usually has urine that is a dark, reddish-
brown color.
A nurse is caring for a client who has chronic kidney failure and the following laboratory
results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the
following interventions should the nurse implement?
A. Initiate an IV infusion of 0.9% sodium chloride.
B. Give oral spironolactone.
C. Infuse regular insulin in dextrose 10% in water.
D. Administer furosemide. - C. Infuse regular insulin in dextrose 10% in water.
A nurse is planning care for a client who is postoperative following a nephrectomy.
Which of the following assessments is the priority for the nurse to evaluate?
A. Bowel sounds
B. WBC count
C. Pain level
D. Blood pressure - D. Blood Pressure
The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be
removed or damaged during nephrectomy. The nurse should evaluate the client for
hypotension, decreased urine output, and decreased level of consciousness.
A nurse is planning care for a client who has acute glomerulonephritis. The nurse
should plan to provide which of the following interventions?
A. Weigh the client daily
B. Encourage the client to drink 2 to 3 L of fluid per day.
C. Instruct the client to ambulate every 2 hr.
D. Obtain the client's serum blood glucose. - A. Weight the client daily
A. The nurse can monitor fluid retention by weighing the client daily.
A nurse is planning care for a client who is scheduled to undergo extracorporeal shock
wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse
plan to take?
A. Place the client in a semi-Fowler's position.
B. Assist with the client's intubation.
C. Begin a 24-hr urine specimen collection after the procedure.
D. Apply electrodes for cardiac monitoring. - D. Apply electrodes for cardiac monitoring
D. The nurse should apply electrodes for continuous monitoring of the client's cardiac
rhythm during ESWL. This monitoring allows the provider to deliver shock waves that
are synchronized with the R wave.
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?
A. A client who is receiving gentamicin for treatment of a wound infection
B. A client who is receiving digoxin for treatment of heart failure
, C. A client who is receiving methylprednisolone for treatment of severe asthma
D. A client who is receiving propranolol for treatment of hypertension - A. A client who is
receiving gentamicin for treatment of a wound infection
A. Aminoglycoside antibiotics can injure cells of the proximal renal tubules, causing
acute tubular necrosis. The nurse should plan to monitor this client for nephrotoxicity
and acute kidney injury.
A nurse is reviewing the medical records of four clients. Which of the following
conditions is a risk factor for chronic pyelonephritis?
A. Parkinson's disease
B. Diabetes mellitus
C. Peptic ulcer disease
D. Gallbladder disease - B. Diabetes mellitus
B. A client who has a history of diabetes mellitus is at risk for the development of
chronic pyelonephritis due to reduced bladder tone.
A nurse is performing an admission assessment of a client who has acute
glomerulonephritis. The nurse should expect which of the following findings?
A. Low blood pressure
B. Polyuria
C. Dark-colored urine
D. Weight loss - C. Dark-colored urine
C. The client who has acute glomerulonephritis usually has urine that is a dark, reddish-
brown color.
A nurse is caring for a client who has chronic kidney failure and the following laboratory
results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the
following interventions should the nurse implement?
A. Initiate an IV infusion of 0.9% sodium chloride.
B. Give oral spironolactone.
C. Infuse regular insulin in dextrose 10% in water.
D. Administer furosemide. - C. Infuse regular insulin in dextrose 10% in water.
