Exam (elaborations)
NCLEX Renal – Questions And Correct Answers
- Course
- NCLEX RENAL
- Institution
- NCLEX RENAL
NCLEX Renal – Questions And Correct Answers
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NCLEX Renal – Questions And Correct AnswersA male client has a history of urinary tract infections due to urinary
retention. Which intervention should the nurse implement to decrease the
risk of infection? ✔️Ans - Assist the client to stand for voiding
The nurse is assisting a client who is new to a low-potassium diet to select
food items from the menu. Which food item is lowest in potassium and
should be recommended to the client on this dietary restriction? ✔️Ans
- Lima Beans
A client diagnosed with chronic kidney disease is being treated at home
with continuous ambulatory peritoneal dialysis. The client notes that there
is a decrease in the catheter outflow following the prescribed 6-hour dwell
time and calls the nurse to report this occurrence. The nurse should
reinforce instructing the client to take which action? ✔️Ans -
Ambulate in the home
A client is diagnosed with polycystic kidney disease, and the nurse
provides information to the client about the treatment plan. The nurse
determines that the client needs further teaching if the client states that
which component is part of the treatment plan? ✔️Ans - Sodium
restriction
The nurse is reinforcing dietary instructions to a client with renal calculi
who must learn to eat an alkaline-ash diet. The nurse determines that the
client has properly understood the information presented if the client
chooses which selection from a diet menu? ✔️Ans - Spinach, milk and
a banana
A client with chronic kidney disease has been on dialysis for 3 years. The
client is receiving the usual combination of medications for the disease,
including aluminum hydroxide as a phosphate-binding agent. The client
now has mental cloudiness, dementia, and complaints of bone pain. Which
does this data indicate? ✔️Ans - Aluminum intoxication
A client who has a cold is seen in the emergency department with an
inability to void. Because the client has a history of benign prostatic
, hyperplasia (BPH), the nurse questions the client about use of which
medication? ✔️Ans - Decongestants
A client's kidneys are retaining greater amounts of sodium. The nurse
anticipates that the kidneys are also retaining greater amounts of which
other substances? ✔️Ans - Chloride and bicarbonate
The nurse has a prescription to collect a 24-hour urine specimen from a
client. The unlicensed assistive personnel (UAP) has been instructed on the
collection technique. Which action by the UAP demonstrates the UAP needs
further teaching? ✔️Ans - Asks the client to void, save the specimen,
and note the start time
Aluminum hydroxide is prescribed for the client with chronic kidney
disease (CKD). When should the nurse instruct the client to take this
medication? ✔️Ans - with meals
The nurse is assigned to care for a client who has just returned to the
nursing unit after having hemodialysis for the first time. The nurse
monitors the client carefully for which signs and symptoms of
disequilibrium syndrome? ✔️Ans - vomiting and headaches
The nurse notes that a client's urinalysis report contains a notation of
positive red blood cells (RBCs). The nurse interprets that this finding is
unrelated to which item that is part of the client's medical record?
✔️Ans - Diabetes mellitus
The nurse is assigned to care for a client who has returned to the nursing
unit following a left nephrectomy. The nurse places the highest priority on
monitoring which data? ✔️Ans - hourly urine output
The nurse is preparing a client scheduled for an intravenous pyelogram
(IVP). The nurse should take which important action before the test?
✔️Ans - ask about allergies to iodine or shellfish
A client arrives at the ambulatory care clinic with low abdominal pain. A
routine urine specimen reveals hematuria. The client does not have a fever.
The nurse should next ask the client about a history of which condition?
✔️Ans - Blow or trauma to the bladder or abdomen
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