Med-Surg I ATI: Renal & Urinary Practice
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 - ANSd. 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 caring for a client who has 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?
a. irrigate the catheter with normal saline
b. notify the provider
c. check the irrigation tubing for kinks
d. provide PRN pain medication - ANSc. check the irrigation tubing for kinks
This is the least invasive and most simple action the nurse can take before moving onto most
invasive.
A nurse is performing an admission assessment on a client who has severe chronic kidney
disease (CKD). Which of the following statements by the client indicate an understanding of the
teaching?
a. "I will check my blood pressure once a week."
b. "I will take magnesium antacid if constipated."
c. "I will weigh myself every morning."
d. "I will use a salt substitute in my diet." - ANSc. "I will weigh myself every morning."
The client must weigh themselves daily to monitor fluid balance. BP must be taken daily.
Magnesium antacids can cause magnesium toxicity for a CKD client. Salt substitutes should be
avoided because they have potassium chloride and can cause hyperkalemia.
A nurse is performing an admissions assessment on a client who has acute glomerulonephritis.
The nurse should expect which of the following findings?
a. Low BP
b. Polyuria
, c. Dark-colored urine
d. Weight loss - ANSc. Dark-colored urine
Clients with this condition develop hypertension and have low urine output. Weight gain usually
occurs due to fluid retention.
A nurse is caring for a client who had acute kidney injury. which of the following lab findings
should the nurse report to the provider
a. serum potassium 5.0
b. serum calcium 9.0
c. serum creatinine 4.0
d. serum amylase 84 - ANSc. serum creatinine 4.0
Elevated creatinine levels indicate impaired kidney function.
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?
a. collect the client's urine in a clean specimen container
b. instruct the client to initiate the flow of urine before collecting the specimen
c. obtain the client's first morning voiding on the following day
d. place the client's urine specimen in a container with a preservative - ANSb. instruct the client
to initiate the flow of urine before collecting the specimen
Obtain a clean catch specimen for testing.
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 3L of fluid per day
c. instruct the client to ambulate every 2 hr.
d. obtain the client's serum blood glucose - ANSa. weigh the client daily
The nurse must monitor fluid retention by weighing the client daily. A decrease in weight
indicates effectiveness of treatment.
A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3
days. Which of the following adverse effects should the nurse monitor for and report to the
provider?
a. sore throat
b. frequent stools
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 - ANSd. 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 caring for a client who has 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?
a. irrigate the catheter with normal saline
b. notify the provider
c. check the irrigation tubing for kinks
d. provide PRN pain medication - ANSc. check the irrigation tubing for kinks
This is the least invasive and most simple action the nurse can take before moving onto most
invasive.
A nurse is performing an admission assessment on a client who has severe chronic kidney
disease (CKD). Which of the following statements by the client indicate an understanding of the
teaching?
a. "I will check my blood pressure once a week."
b. "I will take magnesium antacid if constipated."
c. "I will weigh myself every morning."
d. "I will use a salt substitute in my diet." - ANSc. "I will weigh myself every morning."
The client must weigh themselves daily to monitor fluid balance. BP must be taken daily.
Magnesium antacids can cause magnesium toxicity for a CKD client. Salt substitutes should be
avoided because they have potassium chloride and can cause hyperkalemia.
A nurse is performing an admissions assessment on a client who has acute glomerulonephritis.
The nurse should expect which of the following findings?
a. Low BP
b. Polyuria
, c. Dark-colored urine
d. Weight loss - ANSc. Dark-colored urine
Clients with this condition develop hypertension and have low urine output. Weight gain usually
occurs due to fluid retention.
A nurse is caring for a client who had acute kidney injury. which of the following lab findings
should the nurse report to the provider
a. serum potassium 5.0
b. serum calcium 9.0
c. serum creatinine 4.0
d. serum amylase 84 - ANSc. serum creatinine 4.0
Elevated creatinine levels indicate impaired kidney function.
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?
a. collect the client's urine in a clean specimen container
b. instruct the client to initiate the flow of urine before collecting the specimen
c. obtain the client's first morning voiding on the following day
d. place the client's urine specimen in a container with a preservative - ANSb. instruct the client
to initiate the flow of urine before collecting the specimen
Obtain a clean catch specimen for testing.
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 3L of fluid per day
c. instruct the client to ambulate every 2 hr.
d. obtain the client's serum blood glucose - ANSa. weigh the client daily
The nurse must monitor fluid retention by weighing the client daily. A decrease in weight
indicates effectiveness of treatment.
A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3
days. Which of the following adverse effects should the nurse monitor for and report to the
provider?
a. sore throat
b. frequent stools
