renal practice questions exam 2 with 100% correct answers

renal practice questions exam 2 with 100% correct answers A nurse is caring for a client diagnosed with benign prostatic hyperplasia. What is the most relevant assessment for a client admitted to the hospital with benign prostatic hyperplasia? - CORRECT ANSWER Distention of the lower abdomen To determine the severity of the symptoms for a client with benign prostatic hyperplasia (BPH), the nurse will ask the client about - CORRECT ANSWER Occurrence of a weak urinary stream. A male client asks the nurse what he can do to decrease the risk of BPH. The nurse explains that - CORRECT ANSWER Decreasing saturated fat in the diet, and increasing fruits and vegetables in the diet may help reduce the risk for BPH A client with irritative and obstructive bladder symptoms has an enlarged prostate on digital rectal examination (DRE) and a PSA level of 5.0 ng/mL. The nurse anticipates the client will need teaching about - CORRECT ANSWER Transrectal ultrasound of the prostate (TRUS) A client undergoing a TURP returns from surgery with a three-way urinary catheter with continuous bladder irrigation (CBI) in place. The nurse observes that the urine output has decreased and the urine is clear red with multiple clots. The client is complaining of painful bladder spasms. The most appropriate action by the nurse is to - CORRECT ANSWER Manually instill 50 ml of saline and remove the clots After undergoing a radical retropubic prostatectomy for prostate cancer, a client is incontinent of urine. An appropriate nursing intervention is to teach the client - CORRECT ANSWER Pelvic floor muscle training. A client with benign prostatic hyperplasia (BPH) with mild obstruction tells the nurse, "My symptoms have gotten a lot worse this week." Which response by the nurse is most appropriate? - CORRECT ANSWER "Have you been taking any over-the-counter (OTC) medications recently?" A client with acute renal injury has a glomerular filtration rate (GFR) of 40 mL/min. Which signs and symptoms may be present in this client? Select all that apply. - CORRECT ANSWER Hypervolemia + hyperkalemia Pre-renal injury is due to decreased perfusion to the kidneys secondary to a cause (massive GI bleeding...patient is losing blood volume). This leads to a major decrease in kidney function because the kidneys are deprived of nutrients to function and the amount of blood it can filter. Pre-renal injury can eventually lead to intrarenal damage where the nephrons become damaged. - CORRECT ANSWER A 25 year old female with glomerulonephritis and An 87 year old male who is taking an aminoglycoside medication for an infection