Renal & Urinary NCLEX Exam – Q’s And A’s
A hemodialysis client with a left arm fistula is at risk for arterial steal
syndrome. The nurse monitors this client for which signs/symptoms of this
disorder? ✔️Ans - pallor, diminished pulse, and pain in the left hand
The nurse is reviewing the history and physical examination on a client
diagnosed with polycystic kidney disease. Which data should the nurse
expect to see? ✔️Ans - hematuria; flank pain; history of UTIs
The nurse is assigned to care for a client who has just returned to the
nursing unit after having hemodialysis for the first time. The nurse
monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? ✔️Ans - Vomiting and headaches
A male client has a tentative diagnosis of urethritis. The nurse collects data
from the client knowing that which are signs/symptoms of this disorder?
✔️Ans - Dysuria and penile discharge
A client with a history of prostatic hypertrophy has purchased the over-
the-counter medication, diphenhydramine, to treat symptoms of a runny
nose. The nurse explains to the client that this medication combined with
prostatic hypertrophy could cause exacerbation of which symptom?
✔️Ans - Urinary retention
Which actions are included in the nursing care of the client undergoing
peritoneal dialysis? ✔️Ans - monitor vital signs including temperature;
weigh the client before and after dialysis; check color and volume of
dialysate solution; maintain aseptic technique when assessing the
peritoneal catheter
The nurse is providing dietary instructions to a client with renal calculi,
and the laboratory analysis has revealed that the calculus is composed of
uric acid. The nurse tells the client that it would be helpful to make which
dietary changes? ✔️Ans - Increase intake of legumes in the diet
The nurse has a prescription to collect a 24-hour urine specimen from a
client. The unlicensed assistive personnel (UAP) has been instructed on the
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