ATI RENAL URINARY MED SURG

ATI RENAL URINARY MED SURG
A00nurse00is00assessing00a00client00who00is00400hr00postoperative00following00a00transur
ethral00resection00of00the00prostate00and00has00an00indwelling00urinary00catheter00in00pla
ce.00Which00of00the00following00findings00should00the00nurse00expect?
A. Blood-tinged00urine00in00the00drainage00bag
B. Catheter00tubing00coiled00at00the00client's00side
C. Client00report00of00severe00bladder00spams
D. Urinary00output00of002000mL/hr00-00A.00Blood-tinged00urine00in00the00drainage00bag

A00nurse00is00caring00for00a00client00who00is00in00the00oliguric-
anuric00stage00of00acute00kidney00injury.00The00client00reports00diarrhea,00a00dull00head
ache,00palpitations,00and00muscle00tingling00and00weakness.00Which00of00the00following
00actions00should00the00nurse00take00first?
A. Administer00an00analgesic00to00the00client
B. Check00the00client's00electrolyte00values
C. Measure00the00client's00weight
D. Restrict00the00client's00protein00intake00-00B.00Check00the00client's00electrolyte00values

A00nurse00is00caring00for00a00client00who00is00receiving00peritoneal00dialysis.00The00nurse
00notes00that00the00client's00dialysate00output00is00less00than00the00input00and00that00his0
0abdomen00is00distended.00Which00of00the00following00actions00should00the00nurse00tak
e?
A. Insert00an00indwelling00urinary00catheter
B. Administer00pain00medication00to00the00client
C. Change00the00client's00position
D. Place00the00drainage00bag00above00the00client's00abdomen00-
00C.00Change00the00client's00position


A00nurse00is00teaching00a00newly00licensed00nurse00about00caring00for00a00client00who00h
as00a00new00left00arteriovenous00fistula.00Which00of00the00following00statements00should0
0the00nurse00make?
A. "Check00the00fistula00site00daily00for00a00vibration."
B. "Instruct00the00client00to00restrict00movement00of00his00left00arm."
C. "Avoid00taking00a00blood00pressure00on00the00client's00left00arm."
D. "Instruct00the00client00to00sleep00on00his00left00side."00-
00C.00"Avoid00taking00a00blood00pressure00on00the00client's00left00arm."


A00nurse00is00teaching00a00client00who00has00acute00pyelonephritis.00Which00of00the00follo
wing00instructions00should00the00nurse00include00in00the00teaching?
A. "You00should00complete00the00entire00cycle00of00antibiotic00therapy."
B. "You00should00maintain00complete00bed00rest00until00manifestations00decrease."
C. "You00should00drink001,00000mL00of00fluid00per00day."
D. "You00should00avoid00using00NSAIDs00for00pain."00-
00A.00"You00should00complete00the00entire00cycle00of00antibiotic00therapy."


A00nurse00is00caring00for00a00client00who00has00chronic00glomerulonephritis00with00oliguri
a.00For00which00of00the00following00electrolyte00imbalances00should00the00nurse00monitor
?
A. Hypercalcemia

, B. Hyperkalemia
C. Hypomagnesemia
D. Hypophosphatemia00-00B.00Hyperkalemia

A00nurse00is00reviewing00the00laboratory00report00of00a00client00who00has00chronic00kidn
ey00disease00(CKD).00The00nurse00finds00the00following00laboratory00test00results:00pota
ssium006.800mEq/L,00calcium007.400mg/dL,00hemoglobin0010.200g/dL,00and00phosphate00
4.800mg/dL.00Which00finding00is00the00priority00for00the00nurse00to00report00to00the00provi
der?
A. Hypocalcemia
B. Hyperkalemia
C. Anemia
D. Hypoalbuminemia00-00B.00Hyperkalemia

A00nurse00is00providing00teaching00to00a00client00who00has00a00history00of00urinary00tract00
infections00(UTIs).00Which00of00the00following00client00statements00indicates00the00need0
0for00additional00teaching?
A. "I00will00empty00my00bladder00every00400hours."
B. "I00will00drink00200L00of00fluids00per00day."
C. "I00will00use00a00vaginal00douche00daily."
D. "I00will00wear00cotton00underwear."00-00C.00"I00will00use00a00vaginal00douche00daily."

A00nurse00is00teaching00a00female00client00who00has00pyelonephritis00about00the00disord
er.00Which00of00the00following00pieces00of00information00should00the00nurse00include00to
00help00the00client00prevent00a00recurrence?
A. "Douche00after00vaginal00intercourse."
B. "Wipe00from00front00to00back00after00defecation."
C. "Avoid00foods00that00are00high00in00phosphate."
D. "Add00yogurt00to00your00diet00regularly."00-
00B.00"Wipe00from00front00to00back00after00defecation."


A00nurse00is00caring00for00a00client00who00has00just00returned00from00the00surgical00suite0
0following00a00right00nephrectomy.00Which00of00the00following00indicates00that00the00clie
nt00is00meeting00a00successful00short-term00goal00following00this00procedure?
A. The00client00requests00pain00medication00upon00arrival00from00surgery.
B. A00chest00X-ray00shows00consolidation00in00the00right00lower00lobe.
C. Urinary00output00is003500to005000mL/hr00consistently.
D. The00client00has00slight00abdominal00distention.00-
00C.00Urinary00output00is003500to005000mL/hr00consistently.


A00female00client00who00has00recurrent00cystitis00asks00the00nurse00about00preventing00f
uture00episodes.00For00which00of00the00following00client00statements00should00the00nurse0
0provide00further00teaching?
A. "I00drink00at00least00200L00of00fluid00per00day."
B. "I00prefer00taking00tub00baths00to00showering."
C. "I00urinate00before00and00after00sexual00relations."
D. "I00wipe00from00front00to00back00after00urinating."00-
00B.00"I00prefer00taking00tub00baths00to00showering."