ATI Renal and Urinary System 2023

A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? A. Bowel sounds B. WBC count C. Pain level D. Blood pressure - D. Blood Pressure The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be removed or damaged during nephrectomy. The nurse should evaluate the client for hypotension, decreased urine output, and decreased level of consciousness. A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to provide which of the following interventions? A. Weigh the client daily B. Encourage the client to drink 2 to 3 L of fluid per day. C. Instruct the client to ambulate every 2 hr. D. Obtain the client's serum blood glucose. - A. Weight the client daily A. The nurse can monitor fluid retention by weighing the client daily. A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse plan to take? A. Place the client in a semi-Fowler's position. B. Assist with the client's intubation. C. Begin a 24-hr urine specimen collection after the procedure. D. Apply electrodes for cardiac monitoring. - D. Apply electrodes for cardiac monitoring D. The nurse should apply electrodes for continuous monitoring of the client's cardiac rhythm during ESWL. This monitoring allows the provider to deliver shock waves that are synchronized with the R wave. A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to monitor for signs of nephrotoxicity? A. A client who is receiving gentamicin for treatment of a wound infection B. A client who is receiving digoxin for treatment of heart failure C. A client who is receiving methylprednisolone for treatment of severe asthma D. A client who is receiving propranolol for treatment of hypertension - A. A client who is receiving gentamicin for treatment of a wound infection