Fully Solved.
The nurse provides discharge instructions to a patient who has an immune deficiency
involving the T lymphocytes. Which health screening should the nurse include in the teaching
plan for this patient - Answer Screening for malignancies
To assess whether there is any improvement in a patient's dysuria, which question will the
nurse ask - Answer "Do you have pain when you urinate?"
When a patient's urine dipstick test indicates a small amount of protein, the nurse's next
action should be to a. send a urine specimen to the laboratory to test for ketones. - Answer
inquire about which medications the patient is currently taking
A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is
scheduled for a creatinine clearance test. Which item will the nurse need to obtain? - Answer
large urine container
-creatinine clearance testing involves a 24-hour urine specimen
Which medication taken at home by a patient with decreased renal function will be of most
concern to the nurse? - Answer -ibuprofen
nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be avoided in
patients with impaired renal function
The nurse completing a physical assessment for a newly admitted patient is unable to feel
either kidney on palpation. Which action should the nurse take? - Answer Document the
information on the assessment form
How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis? -
Answer Strike a flat hand covering the costovertebral angle (CVA)
What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old patient with a
creatinine clearance result of 60 mL/min? - Answer 60 mL/min
, A patient gives the admitting nurse health information before a scheduled intravenous
pyelogram (IVP). Which item requires the nurse to intervene before the procedure? - Answer
The patient lists allergies to shellfish and penicillin
The nurse caring for a patient after cystoscopy plans that the patient - Answer understands
to expect blood-tinged urine
A patient who has elevated blood urea nitrogen (BUN) and serum creatinine levels is
scheduled for a renal arteriogram. Which bowel preparation order would the nurse question for
this patient? - Answer Fleet enema
The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is
scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
- Answer Monitor the urine output after the procedure
Which nursing action is essential for a patient immediately after a renal biopsy? - Answer
Apply a pressure dressing and keep the patient on the affected side.
A 46-yr-old female patient returns to the clinic with recurrent dysuria after being treated with
trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take? -
Answer Obtain a midstream urine specimen for culture and sensitivity testing
Which information will the nurse include when teaching the patient with a urinary tract
infection (UTI) about the use of phenazopyridine? - Answer Phenazopyridine may change the
urine color
To determine possible causes, the nurse will ask a patient admitted with acute
glomerulonephritis about - Answer recent sore throat and fever
-Acute glomerulonephritis frequently occurs after a streptococcal infection such as strep throat
Which finding for a patient admitted with glomerulonephritis indicates to the nurse that
treatment has been effective? - Answer The periorbital and peripheral edema are resolved.
The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain
about treatment with - Answer anticoagulants