The nurse is admitting a client undergoing a CT scan with contrast. Which finding does the nurse report
as a possible immediate hypersensitivity reaction? Select all that apply.
a. Nausea
b. Pruritus
c. Urticaria
d. Laryngeal stridor
e. Flushing of the skin - Answers b. Pruritus
c. Urticaria
d. Laryngeal stridor
e. Flushing of the skin
Which assessment finding would require the nurse to take immediate action in a client who is 1 hour
post kidney biopsy? Select all that apply.
a. Pink-tinged urine
b. Nausea and vomiting
c. Increased bowel sounds
d. Reports of flank pain
e. The patient is ambulating to the bathroom - Answers a. pink-tinged urine
When obtaining a health history and physical assessment from a 68-year-old male client who has a
history of an enlarged prostate, which finding does the nurse consider significant? Select all that apply.
a. Distended bladder
b. Absence of a bruit
c. Frequency of urination
d. Dribbling urine after voiding
e. Chemical exposure in the workplace - Answers a. Distended bladder
c. Frequency of urination
d. Dribbling urine after voiding
, A client is on a 24-hour urine collection. At midpoint during the collection, the client tells the nurse that
some of the urine was discarded. What action will the nurse take? Select all that apply.
a. No action is required
b. Reinforce client education
c. Notify the laboratory staff
d. Restart the urine collection
e. Document the discarded urine
f. Notify the health care provider - Answers b. Reinforce client education
c. Notify the laboratory staff
e. Document the discarded urine
f. Notify the health care provider
Which client being managed for dehydration does the nurse consider at greatest risk for possible
reduced kidney function?
a. An 80-year-old man who has benign prostatic hyperplasia
b. A 62-year-old woman with a known allergy to contrast media
c. A 48-year-old woman with established urinary incontinence
d. A 45-year old man receiving oral and intravenous fluid therapy - Answers a. An 80-year-old man who
has benign prostatic hyperplasia
Which client assessment data is essential for the nurse to report to the health care provider before a
renal scan is performed?
a. Pink-tinged urine
b. Reports pregnancy
c. Reports claustrophobia
d. History of an aneurysm clip - Answers b. Reports pregnancy
Which lab finding is indicative of renal function alterations and not dehydration? Select all that apply.
a. BUN 20 mL/dL
b. Creatinine 2.3 mL/dL