NURS 455 MED Surg Questions
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1. A nurse is assessing a client who is 2 weeks postoperative following a kidney
transplant. Which of the following manifestations should the nurse identify as
possible organ rejection?
A. Temperature 36.1° C (97.0° F)
B. Insomnia
C. Oliguria
D. Weight loss: C. Oliguria Feedback: The nurse should identify little to no urine output as possible manifesta-
tions of kidney rejection.
2. A nurse is teaching a client who has acute kidney injury about the oliguric
phase. Which of the following information should the nurse include in the
teaching?
A. Renal function is reestablished.
B. BUN and creatinine levels decrease.
C. Urine output is less than 400 mL per 24 hr.
D. The glomerular filtration rate (GFR) recovers.: C. Urine output is less than 400 mL per 24 hr.
Feedback: Inadequate urinary output is associated with the oliguric phase of acute kidney injury. The minimum amount
of urine needed to rid the body of metabolic waste products is 400 mL. Therefore, a client who is producing less than
400 mL of output in 24 hr is manifesting acute kidney injury.
3. A nurse is preparing a client for a kidney biopsy. Which of the following client
conditions should the nurse identify as a contraindication for this diagnostic
test?
A. Elevated creatinine level
B. Flank pain
C. Urinary retention
D. Bleeding tendencies: D. Bleeding tendencies Feedback: One of the risks of a kidney biopsy is bleeding
from the biopsy site. Therefore, a history of bleeding tendencies or coagulation disorders is a contraindication for a
kidney biopsy.
4. A nurse is caring for a client who has polycystic kidney disease (PKD). Which
of the following findings should the nurse expect?
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A. Flank pain
B. Hypotension
C. Confusion
D. Urinary retention: A. Flank pain Feedback: Flank pain is a finding associated with PKD.
5. A nurse is assessing a client who has chronic kidney disease for fluid volume
increase. Which of the following provides a reliable measure of fluid retention?
A. Daily weight
B. Sodium level
C. Tissue turgor
D. Intake and output: A. Daily weight Feedback: Obtaining a client's daily weight and comparing it to previous
weights is a reliable method for measuring a client's fluid volume over time.
6. A nurse is reviewing the medication record for a client who has chronic kidney
disease. Which of the following medications should the nurse identify as having
the potential to cause nephrotoxicity?
A. Diphenhydramine
B. Ondansetron
C. Vancomycin
D. Mannitol: C. Vancomycin Feedback: The nurse should identify that vancomycin, an antibiotic, to be associated
with nephrotoxic adverse effects.
7. A nurse is teaching a client who has chronic kidney disease and a new
prescription for epoetin alfa. The nurse should instruct the client to increase
dietary intake of which of the following substances?
A. Iron
B. Protein
C. Potassium
D. Sodium: A. Iron
Feedback: Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the
bone marrow to produce red blood cells. Increased iron is needed for the production of hemoglobin and red blood
cells by the bone marrow.
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Study online at https://quizlet.com/_htklb3
1. A nurse is assessing a client who is 2 weeks postoperative following a kidney
transplant. Which of the following manifestations should the nurse identify as
possible organ rejection?
A. Temperature 36.1° C (97.0° F)
B. Insomnia
C. Oliguria
D. Weight loss: C. Oliguria Feedback: The nurse should identify little to no urine output as possible manifesta-
tions of kidney rejection.
2. A nurse is teaching a client who has acute kidney injury about the oliguric
phase. Which of the following information should the nurse include in the
teaching?
A. Renal function is reestablished.
B. BUN and creatinine levels decrease.
C. Urine output is less than 400 mL per 24 hr.
D. The glomerular filtration rate (GFR) recovers.: C. Urine output is less than 400 mL per 24 hr.
Feedback: Inadequate urinary output is associated with the oliguric phase of acute kidney injury. The minimum amount
of urine needed to rid the body of metabolic waste products is 400 mL. Therefore, a client who is producing less than
400 mL of output in 24 hr is manifesting acute kidney injury.
3. A nurse is preparing a client for a kidney biopsy. Which of the following client
conditions should the nurse identify as a contraindication for this diagnostic
test?
A. Elevated creatinine level
B. Flank pain
C. Urinary retention
D. Bleeding tendencies: D. Bleeding tendencies Feedback: One of the risks of a kidney biopsy is bleeding
from the biopsy site. Therefore, a history of bleeding tendencies or coagulation disorders is a contraindication for a
kidney biopsy.
4. A nurse is caring for a client who has polycystic kidney disease (PKD). Which
of the following findings should the nurse expect?
1/9
, NURS 455 MED Surg Questions
Study online at https://quizlet.com/_htklb3
A. Flank pain
B. Hypotension
C. Confusion
D. Urinary retention: A. Flank pain Feedback: Flank pain is a finding associated with PKD.
5. A nurse is assessing a client who has chronic kidney disease for fluid volume
increase. Which of the following provides a reliable measure of fluid retention?
A. Daily weight
B. Sodium level
C. Tissue turgor
D. Intake and output: A. Daily weight Feedback: Obtaining a client's daily weight and comparing it to previous
weights is a reliable method for measuring a client's fluid volume over time.
6. A nurse is reviewing the medication record for a client who has chronic kidney
disease. Which of the following medications should the nurse identify as having
the potential to cause nephrotoxicity?
A. Diphenhydramine
B. Ondansetron
C. Vancomycin
D. Mannitol: C. Vancomycin Feedback: The nurse should identify that vancomycin, an antibiotic, to be associated
with nephrotoxic adverse effects.
7. A nurse is teaching a client who has chronic kidney disease and a new
prescription for epoetin alfa. The nurse should instruct the client to increase
dietary intake of which of the following substances?
A. Iron
B. Protein
C. Potassium
D. Sodium: A. Iron
Feedback: Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the
bone marrow to produce red blood cells. Increased iron is needed for the production of hemoglobin and red blood
cells by the bone marrow.
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