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Exam (elaborations)

ATI Renal and Urinary System 2023

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Uploaded on
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ATI Renal and Urinary System 2023

Institution
ATI Renal
Course
ATI renal

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ATI Renal and Urinary System 2023
A00nurse00is00planning00care00for00a00client00who00is00postoperative00following00a00nephr
ectomy.00Which00of00the00following00assessments00is00the00priority00for00the00nurse00to
00evaluate?


A.00Bowel00sounds
B.00WBC00count
C.00Pain00level
D.00Blood00pressure00-00D.00Blood00Pressure

00The00greatest00risk00to00the00client00is00acute00adrenal00insufficiency.00The00adrenal00gl
and00can00be00removed00or00damaged00during00nephrectomy.00The00nurse00should00ev
aluate00the00client00for00hypotension,00decreased00urine00output,00and00decreased00leve
l00of00consciousness.

A00nurse00is00planning00care00for00a00client00who00has00acute00glomerulonephritis.00The
00nurse00should00plan00to00provide00which00of00the00following00interventions?


A.00Weigh00the00client00daily
B.00Encourage00the00client00to00drink00200to00300L00of00fluid00per00day.
C.00Instruct00the00client00to00ambulate00every00200hr.
D.00Obtain00the00client's00serum00blood00glucose.00-00A.00Weight00the00client00daily


A.00The00nurse00can00monitor00fluid00retention00by00weighing00the00client00daily.

A00nurse00is00planning00care00for00a00client00who00is00scheduled00to00undergo00extraco
rporeal00shock00wave00lithotripsy00(ESWL)00for00urolithiasis.00Which00of00the00following0
0actions00should00the00nurse00plan00to00take?


A.00Place00the00client00in00a00semi-Fowler's00position.
B.00Assist00with00the00client's00intubation.
C.00Begin00a0024-hr00urine00specimen00collection00after00the00procedure.
D.00Apply00electrodes00for00cardiac00monitoring.00-
00D.00Apply00electrodes00for00cardiac00monitoring




D.00The00nurse00should00apply00electrodes00for00continuous00monitoring00of00the00clie
nt's00cardiac00rhythm00during00ESWL.00This00monitoring00allows00the00provider00to00d
eliver00shock00waves00that00are00synchronized00with00the00R00wave.

A00nurse00is00planning00care00for00a00group00of00clients.00Which00of00the00following00clien
ts00should00the00nurse00plan00to00monitor00for00signs00of00nephrotoxicity?

A.00A00client00who00is00receiving00gentamicin00for00treatment00of00a00wound00infection
B.00A00client00who00is00receiving00digoxin00for00treatment00of00heart00failure

, C.00A00client00who00is00receiving00methylprednisolone00for00treatment00of00severe00asthm
a
D.00A00client00who00is00receiving00propranolol00for00treatment00of00hypertension00-
00A.00A00client00who00is00receiving00gentamicin00for00treatment00of00a00wound00infection




A.00Aminoglycoside00antibiotics00can00injure00cells00of00the00proximal00renal00tubules,00
causing00acute00tubular00necrosis.00The00nurse00should00plan00to00monitor00this00client0
0for00nephrotoxicity00and00acute00kidney00injury.


A00nurse00is00reviewing00the00medical00records00of00four00clients.00Which00of00the00follo
wing00conditions00is00a00risk00factor00for00chronic00pyelonephritis?

A.00Parkinson's00disease
B.00Diabetes00mellitus
C.00Peptic00ulcer00disease
D.00Gallbladder00disease00-00B.00Diabetes00mellitus



B.00A00client00who00has00a00history00of00diabetes00mellitus00is00at00risk00for00the00develo
pment00of00chronic00pyelonephritis00due00to00reduced00bladder00tone.

A00nurse00is00performing00an00admission00assessment00of00a00client00who00has00acute00
glomerulonephritis.00The00nurse00should00expect00which00of00the00following00findings?

A.00Low00blood00pressure
B.00Polyuria
C.00Dark-colored00urine
D.00Weight00loss00-00C.00Dark-colored00urine



C.00The00client00who00has00acute00glomerulonephritis00usually00has00urine00that00is00a00d
ark,00reddish-00brown00color.

A00nurse00is00caring00for00a00client00who00has00chronic00kidney00failure00and00the00followi
ng00laboratory00results:00BUN0019600mg/dL,00sodium0015200mEq/L,00and00potassium007.
300mEq/L.00Which00of00the00following00interventions00should00the00nurse00implement?

A.00Initiate00an00IV00infusion00of000.9%00sodium00chloride.
B.00Give00oral00spironolactone.
C.00Infuse00regular00insulin00in00dextrose0010%00in00water.
D.00Administer00furosemide.00-
00C.00Infuse00regular00insulin00in00dextrose0010%00in00water.
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ATI renal
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ATI renal

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