NURS4500 Urinary Final Exam with Complete Solutions
The client is diagnosed with ARF. Which signs/symptoms indicate to the nurse the
client is in the recovery period? Select all that apply.
1. Increased alertness and no seizure activity.
2. Increase in hemoglobin and hematocrit.
3. Denial of nausea and vomiting.
4. Decreased urine-specific gravity.
5. Increased serum creatinine level. Correct-1. Increased alertness and no seizure activity.
2. Increase in hemoglobin and hematocrit.
3. Denial of nausea and vomiting.
The client diagnosed with ARF has a serum potassium level of 6.8 mEq/L. Which
collaborative treatment should the nurse anticipate for the client?
1. Administer a phosphate binder.
2. Type and crossmatch for whole blood.
,3. Assess the client for leg cramps.
4. Prepare the client for dialysis. Correct-4. Prepare the client for dialysis.
The nurse is developing a plan of care for a client diagnosed with ARF. Which
statement is an appropriate outcome for the client?
1. Monitor intake and output every shift.
2. Decrease of pain by 3 levels on a 1-10 scale.
3. Electrolytes are within normal limits.
4. Administer enemas to decrease hyperkalemia. Correct-3. Electrolytes are within normal
limits.
The nurse is admitting a client diagnosed with acute renal failure (ARF). Which
question is most important for the nurse to ask during the admission interview?
1. "Have you recently traveled outside the United States?"
2. "Did you recently begin a vigorous exercise program?"
3. "Is there a chance you have been exposed to a virus?"
,4. "What over-the-counter medications do you take regularly?" Correct-4. "What over-the-
counter medications do you take regularly?"
The nurse is caring for a client diagnosed with ARF. Which laboratory values are most
significant for diagnosing ARF?
1. BUN and creatinine.
2. WBC and hemoglobin.
3. Potassium and sodium.
4. Bilirubin and ammonia level. Correct-1. BUN and creatinine.
The nurse is caring for a client diagnosed with rule-out ARF. Which condition
predisposes the client to developing prerenal failure?
1. Diabetes mellitus.
2. Hypotension.
3. Aminoglycosides.
4. Benign prostatic hypertrophy. Correct-2. Hypotension.
, The client diagnosed with ARF is admitted to the intensive care unit and placed on a
therapeutic diet. Which diet is most appropriate for the client?
1. A high-potassium and low-calcium diet.
2. A low-fat and low-cholesterol diet.
3. A high-carbohydrate and restricted-protein diet.
4. A regular diet with six (6) small feedings a day. Correct-3. A high-carbohydrate and
restricted-protein diet.
The client diagnosed with ARF is placed on bedrest. The client asks the nurse, "Why
do I have to stay in bed? I don't feel bad." Which scientific rationale supports the
nurse's response?
1. Bedrest helps increase the blood return to the renal circulation.
2. Bedrest reduces the metabolic rate during the acute stage.
3. Bedrest decreases the workload of the left side of the heart.
The client is diagnosed with ARF. Which signs/symptoms indicate to the nurse the
client is in the recovery period? Select all that apply.
1. Increased alertness and no seizure activity.
2. Increase in hemoglobin and hematocrit.
3. Denial of nausea and vomiting.
4. Decreased urine-specific gravity.
5. Increased serum creatinine level. Correct-1. Increased alertness and no seizure activity.
2. Increase in hemoglobin and hematocrit.
3. Denial of nausea and vomiting.
The client diagnosed with ARF has a serum potassium level of 6.8 mEq/L. Which
collaborative treatment should the nurse anticipate for the client?
1. Administer a phosphate binder.
2. Type and crossmatch for whole blood.
,3. Assess the client for leg cramps.
4. Prepare the client for dialysis. Correct-4. Prepare the client for dialysis.
The nurse is developing a plan of care for a client diagnosed with ARF. Which
statement is an appropriate outcome for the client?
1. Monitor intake and output every shift.
2. Decrease of pain by 3 levels on a 1-10 scale.
3. Electrolytes are within normal limits.
4. Administer enemas to decrease hyperkalemia. Correct-3. Electrolytes are within normal
limits.
The nurse is admitting a client diagnosed with acute renal failure (ARF). Which
question is most important for the nurse to ask during the admission interview?
1. "Have you recently traveled outside the United States?"
2. "Did you recently begin a vigorous exercise program?"
3. "Is there a chance you have been exposed to a virus?"
,4. "What over-the-counter medications do you take regularly?" Correct-4. "What over-the-
counter medications do you take regularly?"
The nurse is caring for a client diagnosed with ARF. Which laboratory values are most
significant for diagnosing ARF?
1. BUN and creatinine.
2. WBC and hemoglobin.
3. Potassium and sodium.
4. Bilirubin and ammonia level. Correct-1. BUN and creatinine.
The nurse is caring for a client diagnosed with rule-out ARF. Which condition
predisposes the client to developing prerenal failure?
1. Diabetes mellitus.
2. Hypotension.
3. Aminoglycosides.
4. Benign prostatic hypertrophy. Correct-2. Hypotension.
, The client diagnosed with ARF is admitted to the intensive care unit and placed on a
therapeutic diet. Which diet is most appropriate for the client?
1. A high-potassium and low-calcium diet.
2. A low-fat and low-cholesterol diet.
3. A high-carbohydrate and restricted-protein diet.
4. A regular diet with six (6) small feedings a day. Correct-3. A high-carbohydrate and
restricted-protein diet.
The client diagnosed with ARF is placed on bedrest. The client asks the nurse, "Why
do I have to stay in bed? I don't feel bad." Which scientific rationale supports the
nurse's response?
1. Bedrest helps increase the blood return to the renal circulation.
2. Bedrest reduces the metabolic rate during the acute stage.
3. Bedrest decreases the workload of the left side of the heart.
