Nurs 514 Exam 5 Questions with Correct Answers| Latest Update Guaranteed Success
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of
the following statements should the nurse include in the teaching?
a) "You will receive contrast dye during the procedure"
b) "An enema is necessary before the procedure"
c) "You will need to lie prone during the procedure"
d) "The procedure determines whether you have a kidney stone" The procedure determines
whether you have a kidney stone
A nurse is monitoring a patient who had a kidney biopsy for postoperative complications.
Which complication should the nurse identify as the greatest risk to the client?
Infection
Hemorrhage
Hematuria
Pain Hemorrhage
A nurse is caring for a client with type 2 diabetes mellitus who will have excretory urography.
Prior to the procedure, which actions should the nurse take (select all that apply)
Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
Obtain blood coagulation profile Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
A nurse administered captopril to a client during a renal scan. Which of the following actions
should the nurse take?
,Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension Monitor for orthostatic hypotension
A nurse is reviewing the results of a client's urinalysis. The findings indicate that the urine is
positive for leukocyte esterase and nitrates. Which of the following actions should the nurse
take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
Start a 24 hour urine collection for creatinine clearance Obtain a clean-catch urine sample
for culture and sensitivity
A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which
of the following should the nurse include in the teaching?
Hemodialysis restores kidney function
Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
Hemodialysis returns a balance to blood electrolytes Hemodialysis returns a balance to
blood electrolytes
A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury. Which of the
following actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture Review the medications that the client currently takes
,Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
A nurse is planning post-procedure care for a client who received hemodialysis. Which of the
following interventions should the nurse include in the plan of care? (select all that apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
A nurse is caring for a client who develops disequilibrium syndrome after receiving
hemodialysis. Which of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
Increase the dialysis exchange rate Assess level of consciousness
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the following
actions should the nurse take? (select all that apply)
Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
, Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site Monitor blood glucose
levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
A nurse is assessing a client with end- stage kidney disease. Which of the following should the
nurse expect? (select all that apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is planning post-operative care for a client following kidney transplant. Which actions
should the nurse include? (select all that apply)
Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Expect oliguria in the first 4 hours
Monitor blood electrolytes Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Monitor blood electrolytes
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of
the following statements should the nurse include in the teaching?
a) "You will receive contrast dye during the procedure"
b) "An enema is necessary before the procedure"
c) "You will need to lie prone during the procedure"
d) "The procedure determines whether you have a kidney stone" The procedure determines
whether you have a kidney stone
A nurse is monitoring a patient who had a kidney biopsy for postoperative complications.
Which complication should the nurse identify as the greatest risk to the client?
Infection
Hemorrhage
Hematuria
Pain Hemorrhage
A nurse is caring for a client with type 2 diabetes mellitus who will have excretory urography.
Prior to the procedure, which actions should the nurse take (select all that apply)
Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
Obtain blood coagulation profile Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
A nurse administered captopril to a client during a renal scan. Which of the following actions
should the nurse take?
,Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension Monitor for orthostatic hypotension
A nurse is reviewing the results of a client's urinalysis. The findings indicate that the urine is
positive for leukocyte esterase and nitrates. Which of the following actions should the nurse
take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
Start a 24 hour urine collection for creatinine clearance Obtain a clean-catch urine sample
for culture and sensitivity
A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which
of the following should the nurse include in the teaching?
Hemodialysis restores kidney function
Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
Hemodialysis returns a balance to blood electrolytes Hemodialysis returns a balance to
blood electrolytes
A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury. Which of the
following actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture Review the medications that the client currently takes
,Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
A nurse is planning post-procedure care for a client who received hemodialysis. Which of the
following interventions should the nurse include in the plan of care? (select all that apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
A nurse is caring for a client who develops disequilibrium syndrome after receiving
hemodialysis. Which of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
Increase the dialysis exchange rate Assess level of consciousness
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the following
actions should the nurse take? (select all that apply)
Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
, Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site Monitor blood glucose
levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
A nurse is assessing a client with end- stage kidney disease. Which of the following should the
nurse expect? (select all that apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is planning post-operative care for a client following kidney transplant. Which actions
should the nurse include? (select all that apply)
Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Expect oliguria in the first 4 hours
Monitor blood electrolytes Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Monitor blood electrolytes
