RN Targeted Medical Surgical Renal and Urinary Online Practice 2019 Exam Questions And Answers

RN Targeted Medical Surgical Renal and Urinary Online Practice 2019 Exam Questions And Answers A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. Which of the following adverse effects should the nurse monitor for and report to the provider? - ANS Sore throat A nurse is providing education regarding cyclosporine for a client who had a kidney transplant 2 days ago. Which of the following statements by the nurse is appropriate? - ANS "You will need to continue taking this medication to protect your new kidneys." A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis (PD) treatment. Which of the following findings should the nurse report to the provider? - ANS Cloudy dialysate effluent A nurse is reviewing the medical history of a client who has end-stage kidney disease. The nurse should identify which of the following factors in the client's history is a contraindication for receiving hemodialysis? - ANS History of hemophilia A nurse is caring for a client who has chronic kidney failure and the following laboratory results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the following interventions should the nurse implement? - ANS infuse regular insulin dextrose 10% in water A nurse is obtaining a urine specimen for culture and sensitivity from a client who has manifestations of a urinary tract infection. Which of the following actions should the nurse take? - ANS instruct the client to initiate the flow of urine before collecting the specimen A nurse is providing instructions for reducing the dietary intake of potassium for a client who has chronic kidney disease. Which of the following food selections indicates an understanding of the teaching? - ANS One large raw apple A nurse is providing discharge teaching to a client who has chronic kidney disease (CKD). Which of the following statements by the client indicates an understanding of the teaching? - ANS "I will decrease my intake of foods high in phosphorus." A nurse is teaching a client who has urge urinary incontinence about bladder retraining. Which of the following instructions should the nurse include? - ANS "Increase the intervals between urination by 15 minutes per day when able to remain on the continent." A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? - ANS avoid the use of NSAIDS for pain A nurse in an emergency department is caring for a client who reports costovertebral angle tenderness, nausea, and vomiting. Which of the following laboratory values should the nurse report to the provider? - ANS WBC count 15,000/mm3 A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Upon detecting an output obstruction, which of the following actions should the nurse take first? - ANS Check the irrigation tubing for kinks. A nurse is reviewing the laboratory report of a client who has acute kidney injury (AKI). Which of the following findings should the nurse expect? (Select All That Apply) - ANS -BUN 30 mg/dL -Urine output 40 mL in the past 3 hr -Hematocrit 30% A nurse is caring for a client who is scheduled for an intravenous urography. Which of the following interventions is the nurse's priority? - ANS Determine if the client has an allergy to iodine or shellfish 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? - ANS A client who is receiving gentamicin for treatment of a wound infection A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the nurse's priority? - ANS Blood Pressure A nurse is reviewing the medical records of four clients. The nurse should identify which of the following disorders as a risk factor for chronic pyelonephritis? - ANS Diabetes mellitus A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings? - ANS dark colored urine a nurse is performing an admission assessment for a client who has severe chronic kidney disease (CKD). Which of the following findings should the nurse expect? - ANS Tachypnea A nurse is caring for a client immediately following a kidney transplant. The nurse should identify which of the following findings as a possible indication of a delay in functioning of the transplanted kidney? - ANS Urine output 30ml/2hr