NUR514 EXAM 5 QUESTIONS AND
ANSWERS
A9nurse9is9teaching9a9client9who9will9have9an9x-
ray9of9the9kidneys,9ureters,9and9bladder.9Which9of9the9following9statements9should9the9
nurse9include9in9the9teaching?
a)9"You9will9receive9contrast9dye9during9the9procedure"
b)9"An9enema9is9necessary9before9the9procedure"
c)9"You9will9need9to9lie9prone9during9the9procedure"
d)9"The9procedure9determines9whether9you9have9a9kidney9stone"9-9ans--
The9procedure9determines9whether9you9have9a9kidney9stone
A9nurse9is9monitoring9a9patient9who9had9a9kidney9biopsy9for9postoperative9complication
s.9Which9complication9should9the9nurse9identify9as9the9greatest9risk9to9the9client?
Infection
Hemorrhage
Hematuria
Pain9-9ans--Hemorrhage
A9nurse9is9caring9for9a9client9with9type929diabetes9mellitus9who9will9have9excretory9urog
raphy.9Prior9to9the9procedure,9which9actions9should9the9nurse9take9(select9all9that9apply
)
Identify9an9allergy9to9seafood
Withhold9metformin9for9249hours
Administer9an9enema
Access9for9asthma
Obtain9blood9coagulation9profile9-9ans--Identify9an9allergy9to9seafood
Withhold9metformin9for9249hours
Administer9an9enema
Access9for9asthma
A9nurse9administered9captopril9to9a9client9during9a9renal9scan.9Which9of9the9following9a
ctions9should9the9nurse9take?
Assess9for9hypertension
,Limit9fluid9intake
Encourage9early9ambulation
Monitor9for9orthostatic9hypotension9-9ans--Monitor9for9orthostatic9hypotension
A9nurse9is9reviewing9the9results9of9a9client's9urinalysis.9The9findings9indicate9that9the9uri
ne9is9positive9for9leukocyte9esterase9and9nitrates.9Which9of9the9following9actions9should
9the9nurse9take?
Repeat9the9test9early9the9next9morning
Obtain9a9clean-catch9urine9sample9for9culture9and9sensitivity
Start9a9249hour9urine9collection9for9creatinine9clearance9-9ans--Obtain9a9clean-
catch9urine9sample9for9culture9and9sensitivity
A9nurse9is9teaching9a9client9who9has9chronic9kidney9disease9and9is9to9begin9hemodialy
sis.9Which9of9the9following9should9the9nurse9include9in9the9teaching?
Hemodialysis9restores9kidney9function
Hemodialysis9replaces9hormonal9function9of9the9renal9system
Hemodialysis9allows9an9unrestricted9diet
Hemodialysis9returns9a9balance9to9blood9electrolytes9-9ans--
Hemodialysis9returns9a9balance9to9blood9electrolytes
A9nurse9is9preparing9to9initiate9hemodialysis9for9a9patient9with9acute9kidney9injury.9Whic
h9of9the9following9actions9should9the9nurse9take9(select9all9that9apply)
Review9the9medications9that9the9client9currently9takes
Assess9the9AV9fistula9for9a9bruit
Calculate9the9client's9hourly9urine9output
Measure9the9client's9weight
Check9blood9electrolytes
Assess9site9area9for9venipuncture9-9ans--
Review9the9medications9that9the9client9currently9takes
Assess9the9AV9fistula9for9a9bruit
Measure9the9client's9weight
Check9blood9electrolytes
A9nurse9is9planning9post-
procedure9care9for9a9client9who9received9hemodialysis.9Which9of9the9following9intervent
ions9should9the9nurse9include9in9the9plan9of9care?9(select9all9that9apply)
Check9BUN9and9blood9creatinine
Administer9the9medications9the9nurse9witheld9prior9to9dialysis
Observe9for9findings9of9hypovolemia
Assess9the9access9site9for9bleeding
Evaluate9blood9pressure9on9the9arm9with9AV9access9-9ans--
Check9BUN9and9blood9creatinine
Administer9the9medications9the9nurse9witheld9prior9to9dialysis
Observe9for9findings9of9hypovolemia
Assess9the9access9site9for9bleeding
, A9nurse9is9caring9for9a9client9who9develops9disequilibrium9syndrome9after9receiving9he
modialysis.9Which9of9the9following9actions9should9the9nurse9take
Administer9an9opioid9medication
Monitor9for9hypertension
Assess9level9of9consciousness
Increase9the9dialysis9exchange9rate9-9ans--Assess9level9of9consciousness
A9nurse9is9planning9care9for9a9client9who9will9undergo9peritoneal9dialysis.9Which9of9the9
following9actions9should9the9nurse9take?9(select9all9that9apply)
Monitor9blood9glucose9levels
Report9cloudy9dialysate9return
Warm9the9dialysate9in9a9microwave9oven
Assess9for9shortness9of9breath
Check9the9access9site9dressing9for9wetness
Maintain9medical9asepsis9when9accessing9the9catheter9insertion9site9-9ans--
Monitor9blood9glucose9levels
Report9cloudy9dialysate9return
Assess9for9shortness9of9breath
Check9the9access9site9dressing9for9wetness
A9nurse9is9assessing9a9client9with9end-
9stage9kidney9disease.9Which9of9the9following9should9the9nurse9expect?
9(select9all9that9apply)
Anuria
Marked9Azotemia
Crackles9in9the9Lungs
Increased9calcium9level
Proteinuria9-9ans--Anuria
Marked9Azotemia
Crackles9in9the9Lungs
Proteinuria
A9nurse9is9planning9post-
operative9care9for9a9client9following9kidney9transplant.9Which9actions9should9the9nurse9i
nclude?9(select9all9that9apply)
Obtain9daily9weights
Assess9dressings9for9bloody9drainage
Replace9hourly9urine9output9with9IVs
Expect9oliguria9in9the9first949hours
Monitor9blood9electrolytes9-9ans--Obtain9daily9weights
Assess9dressings9for9bloody9drainage
Replace9hourly9urine9output9with9IVs
Monitor9blood9electrolytes
A9nurse9is9teaching9a9client9who9is9post9operative9following9a9kidney9transplant9and9is9t
aking9cyclosporine.9Which9of9the9following9should9the9nurse9include?
ANSWERS
A9nurse9is9teaching9a9client9who9will9have9an9x-
ray9of9the9kidneys,9ureters,9and9bladder.9Which9of9the9following9statements9should9the9
nurse9include9in9the9teaching?
a)9"You9will9receive9contrast9dye9during9the9procedure"
b)9"An9enema9is9necessary9before9the9procedure"
c)9"You9will9need9to9lie9prone9during9the9procedure"
d)9"The9procedure9determines9whether9you9have9a9kidney9stone"9-9ans--
The9procedure9determines9whether9you9have9a9kidney9stone
A9nurse9is9monitoring9a9patient9who9had9a9kidney9biopsy9for9postoperative9complication
s.9Which9complication9should9the9nurse9identify9as9the9greatest9risk9to9the9client?
Infection
Hemorrhage
Hematuria
Pain9-9ans--Hemorrhage
A9nurse9is9caring9for9a9client9with9type929diabetes9mellitus9who9will9have9excretory9urog
raphy.9Prior9to9the9procedure,9which9actions9should9the9nurse9take9(select9all9that9apply
)
Identify9an9allergy9to9seafood
Withhold9metformin9for9249hours
Administer9an9enema
Access9for9asthma
Obtain9blood9coagulation9profile9-9ans--Identify9an9allergy9to9seafood
Withhold9metformin9for9249hours
Administer9an9enema
Access9for9asthma
A9nurse9administered9captopril9to9a9client9during9a9renal9scan.9Which9of9the9following9a
ctions9should9the9nurse9take?
Assess9for9hypertension
,Limit9fluid9intake
Encourage9early9ambulation
Monitor9for9orthostatic9hypotension9-9ans--Monitor9for9orthostatic9hypotension
A9nurse9is9reviewing9the9results9of9a9client's9urinalysis.9The9findings9indicate9that9the9uri
ne9is9positive9for9leukocyte9esterase9and9nitrates.9Which9of9the9following9actions9should
9the9nurse9take?
Repeat9the9test9early9the9next9morning
Obtain9a9clean-catch9urine9sample9for9culture9and9sensitivity
Start9a9249hour9urine9collection9for9creatinine9clearance9-9ans--Obtain9a9clean-
catch9urine9sample9for9culture9and9sensitivity
A9nurse9is9teaching9a9client9who9has9chronic9kidney9disease9and9is9to9begin9hemodialy
sis.9Which9of9the9following9should9the9nurse9include9in9the9teaching?
Hemodialysis9restores9kidney9function
Hemodialysis9replaces9hormonal9function9of9the9renal9system
Hemodialysis9allows9an9unrestricted9diet
Hemodialysis9returns9a9balance9to9blood9electrolytes9-9ans--
Hemodialysis9returns9a9balance9to9blood9electrolytes
A9nurse9is9preparing9to9initiate9hemodialysis9for9a9patient9with9acute9kidney9injury.9Whic
h9of9the9following9actions9should9the9nurse9take9(select9all9that9apply)
Review9the9medications9that9the9client9currently9takes
Assess9the9AV9fistula9for9a9bruit
Calculate9the9client's9hourly9urine9output
Measure9the9client's9weight
Check9blood9electrolytes
Assess9site9area9for9venipuncture9-9ans--
Review9the9medications9that9the9client9currently9takes
Assess9the9AV9fistula9for9a9bruit
Measure9the9client's9weight
Check9blood9electrolytes
A9nurse9is9planning9post-
procedure9care9for9a9client9who9received9hemodialysis.9Which9of9the9following9intervent
ions9should9the9nurse9include9in9the9plan9of9care?9(select9all9that9apply)
Check9BUN9and9blood9creatinine
Administer9the9medications9the9nurse9witheld9prior9to9dialysis
Observe9for9findings9of9hypovolemia
Assess9the9access9site9for9bleeding
Evaluate9blood9pressure9on9the9arm9with9AV9access9-9ans--
Check9BUN9and9blood9creatinine
Administer9the9medications9the9nurse9witheld9prior9to9dialysis
Observe9for9findings9of9hypovolemia
Assess9the9access9site9for9bleeding
, A9nurse9is9caring9for9a9client9who9develops9disequilibrium9syndrome9after9receiving9he
modialysis.9Which9of9the9following9actions9should9the9nurse9take
Administer9an9opioid9medication
Monitor9for9hypertension
Assess9level9of9consciousness
Increase9the9dialysis9exchange9rate9-9ans--Assess9level9of9consciousness
A9nurse9is9planning9care9for9a9client9who9will9undergo9peritoneal9dialysis.9Which9of9the9
following9actions9should9the9nurse9take?9(select9all9that9apply)
Monitor9blood9glucose9levels
Report9cloudy9dialysate9return
Warm9the9dialysate9in9a9microwave9oven
Assess9for9shortness9of9breath
Check9the9access9site9dressing9for9wetness
Maintain9medical9asepsis9when9accessing9the9catheter9insertion9site9-9ans--
Monitor9blood9glucose9levels
Report9cloudy9dialysate9return
Assess9for9shortness9of9breath
Check9the9access9site9dressing9for9wetness
A9nurse9is9assessing9a9client9with9end-
9stage9kidney9disease.9Which9of9the9following9should9the9nurse9expect?
9(select9all9that9apply)
Anuria
Marked9Azotemia
Crackles9in9the9Lungs
Increased9calcium9level
Proteinuria9-9ans--Anuria
Marked9Azotemia
Crackles9in9the9Lungs
Proteinuria
A9nurse9is9planning9post-
operative9care9for9a9client9following9kidney9transplant.9Which9actions9should9the9nurse9i
nclude?9(select9all9that9apply)
Obtain9daily9weights
Assess9dressings9for9bloody9drainage
Replace9hourly9urine9output9with9IVs
Expect9oliguria9in9the9first949hours
Monitor9blood9electrolytes9-9ans--Obtain9daily9weights
Assess9dressings9for9bloody9drainage
Replace9hourly9urine9output9with9IVs
Monitor9blood9electrolytes
A9nurse9is9teaching9a9client9who9is9post9operative9following9a9kidney9transplant9and9is9t
aking9cyclosporine.9Which9of9the9following9should9the9nurse9include?
