A nurse is caring for a client "I never eat shellfish because they give me hives."
with recurrent kidney Rationale: Getting hives after eating shellfish is a likely
stones. The provider order indication of an allergy. The contrast medium used for
several diagnostic studies, IVP dye is typically an iodine or shellfish derivative. A
including intravenous client with sensitivity to iodine or shellfish may have an
pyelogram (IVP), urine anaphylactic reaction after the contrast material is
culture and sensitivity, and injected.
strain all urine. The nurse
needs to inquire further if
the client states which of
the following?
A nurse is caring for a client Avoid tight clothing around the access site.
who is receiving Rationale: Tight clothing may decrease the blood flow
hemodialisis via the left and cause clotting.
arteriovenous fistula for
management of chronic
renal disease. Which of the
following teaching points
should the nurse reinforce?
A nurse is caring for a client "I will limit my fluid intake."
with chronic renal failure. Rationale: The client who has chronic renal failure needs
Which of the following to avoid hypovolemia, or fluid overload , by following
client statements indicates the fluid restriction each daily. Protein restriction will
an understanding of the also be necessary to avoid elevating the serum BUN
dietary needs for lifestyle levels.
management of this
disease?
,A nurse is caring for a client Hematuria
who was brought to the Rationale: The cheif manifestation of a ruptured bladder
emergency room following are hematuria (blood in the urine), pelvic pain, and
an accident. The nurse oliguria (low urine output).
suspects a ruptured
bladder.Which of the
following is consistent with
this diagnosis?
A nurse is caring for a client Painful urination
who just had a transurethral Rationale:The client should notify the provider of any
resection of the prostate signs of urinary tract infection, such as fever, urinary
(TURP). Which of the frequency, or painful urination.
following should the nurse
remind the client to report
to the provider?
A nurse is caring for a client "Pink tinged urine and burning while urinating can be
who is to undergo a expected."
cystoscopy. When Rationale: Cystoscopy is a direct look inside the clients
reinforcing teaching to the bladder through a small camera that is inserted through
client on post-procedure the urethra. It is a common test used to look for causes
expectations, which of the to bleeding in the urine and other bladder problems.
following should the nurse Following the procedure, pink tinged urine and burning
state? on urination is to be expected.
A nurse is caring for a client "I prefer to take baths instead of showers."
with a history of cystitis. Rationale: Women who have frequent uti's are
Which of the following encouraged to take showers instead of baths. A tub bath
statements indicates a need is more likely to cause irritation and contamination of the
for further education? urethra; therefor, leading to frequent uti's.
Protein
A nurse is caring for a client
Rationale: Chronic kidney disease is irreversible loss of
with chronic kidney disease.
kidney ability to excrete waste, concentrate urine, and
The nurse anticipates that
conserve electrolytes. A diet low in protein supplies only
the provider will prescribe a
essential amino acids reducing the amount of metabolic
diet that has which of the
waste products and may help to preserve a degree of
following restrictions?
kidney function.
,A nurse is reinforcing "I need to have a two follow-up negative sperm count."
teachings to a client Rationale: Contraceptive measures need to be used until
scheduled for a vasectomy after sperm analysis are negative. Sperm can remain
about the procedure. Which viable for up to 6month in the vas deferens.
of the following client
statements indicates an
understanding of the
procedure?
A nurse is caring for a client Relieve Pain
who has a diagnosis of renal Rationale: The pain associated with renal calculi is severe
calculi. Which of the and should be addressed immediately.
following is a priority
nursing action?
A nurse is caring for a client Casts
who is suspected of having Rationale: Casts are protein structures that are
a UTI. The provider precipitated in the renal tubules. Presence of the these in
prescribes a urine the urine indicates a pathologic condition of the kidney.
specimen. Which of the
following findings should
confirm to the nurse that an
upper UTI involving the
kidney is present?
A nurse is collecting a 24hr Discard the previous collection and start the collection
creatinine clearance. During again.
the collection, the client Rationale: All urine voided in a 24hr must be collected,
accidentally discards a or the test results will not be accurate.
specimen. Which of the
following is an appropriate
nursing action?
, A nurse is caring for a client Blood Pressure of 160/90mm/Hg
who has under-gone a non- Rationale: If the client is having kidney rejection, that will
related living donor kidney be accompanied by kidney failure. Consequently, due to
transplant. On the 5th the kidneys role in fluid and blood pressure regulation,
postoperative day, the the client experiencing rejection will typically be
nurse notes that the client hypertensive.
has gained 1kg of body
weight since the previous
day. The nurse suspects
rejection. Which of the
following would also be
seen in a client
experiencing rejection?
A nurse is caring for a client Calcium
who has chronic renal The client should supplement calcium in to her diet
failure. Which of the because the kidneys are unable to activate calcium
following should the nurse through the gastrointestinal track.
remind the client to
increase in her diet?
A nurse is reinforcing The PSA should not be given within 48hrs of a rectal
education on prostate exam.
health to a client. Which of Rationale: PSA is a glycoprotein that is found only in
the following statements is cytoplasm of the epithelial cells of the prostate.
an appropriate statement
for the nurse to make
regarding a PSA test.
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