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ATI Medical- Surgical: Renal and Urinary Exam Questions and Answers
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ATI Medical- Surgical: Renal and Urinary Exam Questions and Answers
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ATI Medical- Surgical: Renal and UrinaryExam Questions and Answers
A nurse is reinforcing teaching with a client prior to a cytoscopy. Which of
the following statements should the nurse make? - -"Expect to have pink-
tinged urine after this procedure."
Rationale:
A cytoscopy is a procedure in which a scope is inserted into the urethra to
diagnose or treat bladder problems. Following the procedure, pink-tinged
urine is expected.
- A nurse is caring for a client who is receiving peritoneal dialysis. The nurse
should monitor the client for which of the following adverse effects. - -
Respiratory distress
Rationale:
Respiratory distress can occur during peritoneal dialysis due to fluid
overload.
- A nurse is collecting data from a client who is receiving continuous
ambulatory peritoneal dialysis. Which of the following findings should the
nurse report to the provider? - -Cloudy, yellow drainage
Rationale:
Cloudy drainage is an early manifestations of peritonitis and the nurse
should report this finding to the provider. Other manifestations include fever
and abdominal tenderness.
- The nurse is collecting data from a client who is postoperative following
extracorporeal shockwave lithotripsy (ESWL). The nurse should identify that
which of the following findings is the priority? - -Report of palpitations
Rationale:
The nurse should apply the ABC priority-setting framework. This framework
emphasizes the basic core of human functioning- having an open airway,
being able to breathe in adequate amounts of oxygen, and circulating
oxygen to the body's organs via the blood. An alteration in any of these can
indicate a threat to life, and is the nurse's priority concern. When applying
the ABC priority-setting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur.
Circulation is the third-highest priority in the ABC priority-setting framework
because delivery of oxygen to critical organs only occurs if the heart and
blood vessels are capable of efficiently carrying oxygen to them. ESWL is the
, application of found, laser, or dry shock wave energies to break a kidney
stone into small pieces. The shock waves are initiated during the R wave of
the ECG to prevent dysrhythmia. When using the airway, breathing,
circulation approach to client care, the nurse should determine report of
palpitations is a manifestation of dysrhythmias and is the priority finding.
- A nurse is reinforcing teaching about collecting a 24-hour urine specimen
for creatinine clearance with a newly licensed nurse. Which of the following
instructions should the nurse include? - -Place signs in the bathroom as a
reminder about the test in progress.
Rationale:
The nurse should place signs in the bathroom and alert family members of
the test in progress so that everyone saves the specimens appropriately
throughout the test.
- A nurse is reinforcing teaching with a client who is preoperative prior to a
transurethral resection of the prostate (TURP). Which of the following
statements indicates an understanding of the information? - -"I will feel the
urge to urinate following this procedure."
Rationale:
After a TURP, the client will feel the urge to urinate. The nurse should
reassure him that he will receive analgesics to help relieve this discomfort.
- A nurse is reinforcing dietary teaching with a client who has late-stage
chronic kidney disease (CKD). Which of the following nutrients should the
nurse instruct the client to increase in her diet? - -Calcium
Rationale:
A client who has CKD can develop hypocalcemia due to the reduced
production of active vitamin D, which is needed for calcium absorption. The
client should supplement her diet with dietary calcium.
- A nurse is reinforcing teaching with a newly licensed nurse about caring for
a client who has a new left arteriovenous fistula. Which of the following
statements should the nurse make? - -"Avoid taking blood pressure on the
client's left arm."
Rationale:
The nurse should avoid taking blood pressure measurements on the client's
left arm, which can decrease blood flow and cause clotting.
- A nurse is caring for a client who is receiving peritoneal dialysis. The nurse
notes that the dialysate output is less than the input, and the client's
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