ATI URINARY ELIMINATION EXAM LATEST ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

ATI URINARY ELIMINATION EXAM LATEST ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+ A nurse is assessing the renal function of a client. The nurse checks which item as the best indirect indicator of renal status? a) bladder distention b) level of consciousness c) pulse rate d) blood pressure - ANSWERD- The kidneys normally receive 20% to 25% of the cardiac output, even under conditions of rest. In order for kidney function to be optimal, adequate renal perfusion is necessary. Perfusion can best be estimated by the blood pressure, which is an indirect reflection of the adequacy of cardiac output. The pulse rate affects the cardiac output, but can be altered by factors unrelated to kidney function. Bladder distention reflects a problem or obstruction that is most often distal to the kidneys. Level of consciousness is an unrelated item. A nurse is caring for a hospitalized client with polycystic kidney disease who has intravenous pyelography (IVP). The nurse monitors which specific item in the postprocedure period? a) lung sounds b) groin area c) carotid pulse rate d) intake and output - ANSWERD- IVP is used to visualize the kidneys, ureters, and bladder for evaluation of structure and excretory function. Contrast medium is injected intravenously (usually in a vein located in the antecubital area) to visualize the renal parenchyma, collecting system, ureter, and bladder, using multiple x-ray films. This diagnostic test detects renal masses and cysts, ureteral obstruction, retroperitoneal tumors, renal trauma, and other urinary tract abnormalities. The nurse monitors urinary output and renal function for 24 to 48 hours after the test in order to recognize a nephrotoxic response to the contrast medium. Options A, B, and C are unrelated to this procedure. A nurse is caring for a client with recurrent kidney stones. The provider order several diagnostic studies, including intravenous pyelogram (IVP), urine culture and sensitivity, and strain all urine. The nurse needs to inquire further if the client states which of the following? - ANSWER"I never eat shellfish because they give me hives." Rationale: Getting hives after eating shellfish is a likely indication of an allergy. The contrast medium used for IVP dye is typically an iodine or shellfish derivative. A client