Medical-Surgical: Renal and Urinary
A nurse is teaching a client who is preoperative for a renal biopsy. Which of the following
statements should the nurse make?
[] "you will be NPO for 8 hours following the procedure"
[] "an allergy to shellfish is a contraindication to this procedure"
[] "you will need to be on bed rest following the procedure"
[] "a creatinine clearance is needed prior to the procedure" - ANS[] "you will need to be on bed
rest following the procedure"
A nurse is assessing a client who was brought to the emergency department following a
motor-vehicle crash. The nurse should recognize that which of the following findings is a
manifestation of bladder trauma?
[] stress incontinence
[] hematuria
[] pyuria
[] fever - ANS[] hematuria
A nurse is teaching 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 site daily for a vibration"
[] "instruct the client to restrict movement of his left arm"
[] "avoid taking blood pressure on the client's left arm"
[] "instruct the client to sleep on his left side" - ANS[] "avoid taking blood pressure on the client's
left arm"
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the
client for which of the following adverse effects?
[] diarrhea
[] increased serum albumin
[] hypoglycemia
[] peritonitis - ANS[] peritonitis
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs).
Which of the following statements should indicate to the nurse the need for additional teaching?
[] "i will empty my bladder every 4 hours"
[] "i will drink 2 liters of fluids per day"
[] "i will use a vaginal douche daily"
[] "i will wear cotton underwear" - ANS[] "i will use a vaginal douche daily"
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain.
Which of the following is the priority nursing action?
[] relieve the client's pain
A nurse is teaching a client who is preoperative for a renal biopsy. Which of the following
statements should the nurse make?
[] "you will be NPO for 8 hours following the procedure"
[] "an allergy to shellfish is a contraindication to this procedure"
[] "you will need to be on bed rest following the procedure"
[] "a creatinine clearance is needed prior to the procedure" - ANS[] "you will need to be on bed
rest following the procedure"
A nurse is assessing a client who was brought to the emergency department following a
motor-vehicle crash. The nurse should recognize that which of the following findings is a
manifestation of bladder trauma?
[] stress incontinence
[] hematuria
[] pyuria
[] fever - ANS[] hematuria
A nurse is teaching 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 site daily for a vibration"
[] "instruct the client to restrict movement of his left arm"
[] "avoid taking blood pressure on the client's left arm"
[] "instruct the client to sleep on his left side" - ANS[] "avoid taking blood pressure on the client's
left arm"
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the
client for which of the following adverse effects?
[] diarrhea
[] increased serum albumin
[] hypoglycemia
[] peritonitis - ANS[] peritonitis
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs).
Which of the following statements should indicate to the nurse the need for additional teaching?
[] "i will empty my bladder every 4 hours"
[] "i will drink 2 liters of fluids per day"
[] "i will use a vaginal douche daily"
[] "i will wear cotton underwear" - ANS[] "i will use a vaginal douche daily"
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain.
Which of the following is the priority nursing action?
[] relieve the client's pain
