ATI Med Surg Renal and Urinary Practice Flashcard

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 - d. 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 - c. 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." - c. "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 - c. 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 - c. serum creatinine 4.0 Elevated creatinine levels indicate impaired kidney functio