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Med Surge renal ati Exam Questions and answers
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Med Surge renal ati Exam Questionsand answers
A nurse is reinforcing teaching a client who will have an x-ray of the kidneys,
ureters and bladder. Which of the following statements should the nurse
include?
A) "You will receive contrast dye during the procedure."
B) "An enema is necessary before the procedure."
C) "You will need to lie in a prone position during the procedure."
D) "The procedure determines whether you have a kidney stone." - -D) "The
procedure determines whether you have a kidney stone."
- A nurse is monitoring a client who had a kidney biopsy for postoperative
complications. Which of the following complications should the nurse identify
as causing the greatest risk to the client?
A) Infection
B) Hemorrhage
C) Hematuria
D) Pain - -B) Hemorrhage
- A nurse is preparing to begin a 24 hr urine collection for a client. Which of
the following actions should the nurse take?
A) Store collected urine in a designated container at room temperature.
B) Discard the first voiding when beginning the test.
C) Post a notice on the client's door regarding the testing.
D) Document any urine collection that was missed during the 24 hr of the
testing. - -B) Discard the first voiding when beginning the test.
- A nurse is collecting data from a client who has returned to the medical-
surgical unit following a CT scan of the kidneys with IV contrast. Which of the
following findings should the nurse identify as an indication the client is
experiencing an allergic reaction to the contrast material?
A) Bradycardia
B) Pink-tinged urine
C) Hyperpyrexia
D) Skin hives - -D) Skin hives
- A nurse is reinforcing teaching with a client who has chronic kidney disease
and is to begin hemodialysis. Which of the following information should the
nurse include?
A) Hemodialysis restores kidney function.
B) Hemodialysis replaces hormonal function of the renal system.
C) Hemodialysis allows an unrestricted diet.
, D) Hemodialysis returns a balance to blood electrolytes. - -D) Hemodialysis
returns a balance to blood electrolytes.
- A nurse is contributing to the plan of care for a client who received
hemodialysis. Which of the following interventions should the nurse suggest
to include in the plan of care? (SATA)
A) Check BUN and blood creatinine.
B) Administer medications the nurse withheld prior to dialysis.
C) Observe for findings of hypovolemia.
D) Monitor the access site for bleeding.
E) Obtain blood pressure on the arm with AV access. - -A) Check BUN and
blood creatinine.
B) Administer medications the nurse withheld prior to dialysis.
C) Observe for findings of hypovolemia.
D) Monitor the access site for bleeding.
- A nurse is contributing to the plan of care for a client who will undergo
peritoneal dialysis. Which of the following actions should the nurse take?
(SATA)
A) Check BUN and blood creatinine.
B) Administer medications the nurse withheld prior to dialysis.
C) Warm the dialysate in a microwave oven.
D) Monitor for shortness of breath.
E) Maintain medical asepsis when accessing the catheter insertion site. - -A)
Check BUN and blood creatinine.
B) Administer medications the nurse withheld prior to dialysis.
D) Monitor for shortness of breath.
- A nurse is contributing to the plan of care for a client who has chronic
kidney disease. Which of the following actions should the nurse recommend
to include in the plan of care? (SATA)
A) Monitor for pulmonary edema.
B) Provide frequent mouth rinses.
C) Restrict fluids based on urinary output.
D) Provide a high-sodium diet.
E) Monitor for weight gain trends. - -A) Monitor for pulmonary edema.
B) Provide frequent mouth rinses.
C) Restrict fluids based on urinary output.
E) Monitor for weight gain trends.
- A nurse is reviewing client laboratory data. Which of the following findings
is expected for a client who has stage 4 chronic kidney disease?
A) Blood urea nitrogen (BUN) 15mg/dL
B) Glomerular filtration rate (GFR) 20mL/min
C) Blood creatinine mg/dL
D) Blood potassium mEq/L - -B) Glomerular filtration rate (GFR) 20mL/min
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