ATI Renal / Urinary Exam 100% VERIFIED

ATI Renal / Urinary Exam A nurse is reinforcing teaching about urinary tract infections (UTIs) with a client. Which of the following manifestations should the nurse include? Weight gain Weight gain is not a manifestation of a UTI, because a UTI does not cause fluid retention. Weight gain can be a manifestation of acute kidney injury and fluid overload. Back pain MY ANSWER Back pain and flank pain are manifestations of a UTI. Other manifestations include frequency, urgency, and cloudy, foul-smelling urine. Vaginal discharge Vaginal discharge is a manifestation of a vaginal infection, not a UTI. Muscle cramps Muscle cramps can be a manifestation of uremia, not a UTI. A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make? "Check the fistula daily for a vibration." The nurse should check the fistula every 4 hr for blood flow. "Instruct the client to restrict movement of his left arm." The client should perform range-of-motion exercises of the left arm. "Avoid taking blood pressures on the client's left arm." MY ANSWER The nurse should avoid taking blood pressure measurements on the client's left arm, which can decrease blood flow and cause clotting. "Instruct the client to sleep on his left side." Sleeping on top of the extremity with the access site can cause impairment of blood flow and possible clotting. A nurse is reinforcing teaching with a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? "You should avoid taking NSAIDs for pain." A client who has acute pyelonephritis can take NSAIDs as needed for pain, unless otherwise contraindicated. "You should maintain complete bed rest until manifestations decrease." The client should balance rest and activity, and does not require complete bed rest. Ambulation can prevent complications of bed rest such as constipation and urinary stasis.