SURG 219 test 4
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A diabetic client who has bacterial pneu-
monia is being treated w/IV gentamicin
60mg IV BID. What will you report to HCP
-serum creatinine 1.9mg/dL
-blood glucose 118mg/dL
-urine osmolality 300 mOsm/kg
-serum creatinine 1.9mg/dL
-serum potassium 4.8 mEq/L
Pre-procedure teaching @ an US should
include that prep for an US of the of lower
urinary tract will require
-Increased fluid intake to produce a full -Increased fluid intake to produce a full
bladder bladder
-IV administration of radiopaque contrast
agent
-Sedation and intubation
-Injection of a radioisotope
You are assessing body systems on an
85 y/o, you should be aware of what age
related change of renal/urinary system
-Decreased glomerular filtration rate
-Increased ability to concentrate urine
-Increased bladder capacity
-Urinary incontinence
-Decreased glomerular filtration rate
A client is admitted with renal calculi.
Client has temp 100.6 severe flank pain
& nausea. A priority outcome for client
-Prevention of urinary tract complica-
-Alleviation of pain
tions.
-Alleviation of nausea
-Alleviation of pain
-Maintenance of fluid and electrolyte bal-
ance.
, SURG 219 test 4
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Which of the following nursing interven-
tions is likely to provide the most relief
from the pain associated w/renal colic
-Administering meperidine (Demerol)
-Applying moist heat to the flank area
-Administering meperidine (Demerol)
-Encouraging high fluid intake
-Maintaining complete bed rest
What should the nurse ask the patient
about to determine possible causes of
acute glomerulonephritis?
-Recent sore throat and fever
-Recent sore throat and fever
-Recent bladder infection
-History of high blood pressure
-History of kidney stones
Your patient weighs 242 pounds (110kg),
had a nephrectomy d/t trauma from
MVC, which finding is most important to
report
-Urine output is 20 mL/hr for 2 hours.
-Blood pressure is 102/58.
-Urine output is 20 mL/hr for 2 hours.
-Incisional pain level reported as 9/10.
-Crackles present at bilateral lung bases.
A young adult employed as a hairdresser
and has a 15 pack-year history of ciga-
rette smoking is at increased risk for:
-bladder cancer
-renal failure
-kidney stones
-bladder cancer
-pyelonephritis
You are infusing dialysate during peri-
toneal dialysis. What is a nursing action
to make the client more comfortable? -Turn the client from side to side
-Increase the rate of flow
, SURG 219 test 4
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-Raise the head of the bed
-Turn the client from side to side
-Refrigerate the fluid before infusion
A client in acute renal failure develops
pulmonary edema. Nursing interventions
for this person include:
-Administering Oxygen. -Administering Oxygen.
-Discouraging coughing or deep breath-
ing.
-Placing the client in prone position
-Forcing fluid intake to 6L/day.
Your 78 y/o client had an IVP at 9am,
which finding indicates the kidneys have
been effected by the test
-The client's intake for the shift is
1750mL, urinary outbut is 375mL. -The client's intake for the shift is
-The client consumed 90 percent of all 1750mL, urinary outbut is 375mL.
meals for the shift
-The clients creatinine is 1.2mg/dL, BUN
18mg/dL at 7pm
-The client's blood pressure is 112/64
mmHg at 7pm.
The oncoming nurse received report
from the off going nurse, which client will
the nurse see first?
-A client with a urinary tract infection who
is to be discharged home. -A client who returned to the unit after
-A client with pneumonia who's urinary hemodialysis who's BP is 102/54
output for the last 12 hours is 400mL
-A client with renal calculi who is request-
ing pain medication.
-A client who returned to the unit after
hemodialysis who's BP is 102/54
A 45 y/o man w/diabetic nephropathy
has
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