Exam (elaborations)
NUR 240 PrepU Chapter 47_ Assessment of Kidney and Urinary Function
NUR 240 PrepU Chapter 47_ Assessment of Kidney and Urinary Function
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NUR 240 PrepU Chapter 47: Assessmentof Kidney and Urinary Function
A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse
initiate the procedure? - ANS-After discarding the 8:00 am specimen
A client develops decreased renal function and requires a change in antibiotic dosage.
On which factor should the physician base the dosage change? - ANS-Creatinine
clearance
A client is scheduled for a renal arteriogram. When the nurse checks the chart for
allergies to shellfish or iodine, she finds no allergies recorded. The client is unable to
provide the information. During the procedure, the nurse should be alert for which
finding that may indicate an allergic reaction to the dye used during the arteriogram? -
ANS-Pruritus
A client is scheduled for a renal ultrasound. Which of the following would the nurse
include when explaining this procedure to the client? - ANS-"You don't need to do any
fasting before this noninvasive test."
A client is undergoing a renal angiogram after a traumatic accident. What
post-procedural assessments would the nurse perform on the client? Select all that
apply. - ANS-Monitor hypersensitivity response.
Palpates the pulses in the legs and feet.
Monitor site condition.
A client presents to the ED reporting left flank pain and lower abdominal pain. The pain
is severe, sharp, stabbing, and colicky in nature. The client has also experienced
nausea and emesis. The nurse suspects the client is experiencing: - ANS-ureteral
stones.
A client undergoes renal angiography. Which postprocedure care intervention should
the nurse provide to the client? - ANS-Palpate the pulses in the legs and feet.
A client with a genitourinary problem is being examined in the emergency department.
When palpating the client's kidneys, the nurse should keep in mind which anatomic
fact? - ANS-The left kidney usually is slightly higher than the right one.
, A creatinine clearance test is ordered for a client with possible renal insufficiency. The
nurse must collect which serum concentration midway through the 24-hour urine
collection? - ANS-Creatinine
A creatinine level has been ordered. The nurse prepares to: - ANS-Obtain a blood
specimen.
A female client presents to the health clinic for a routine physical examination. The
nurse observes that the client's urine is bright yellow. Which question is most
appropriate for the nurse to ask the client? - ANS-"Do you take multiple vitamin
preparations?"
A nurse is assisting the physician conducting a cystogram. The client has an
intravenous (IV) infusion of D5W at 40 ml/hr. The physician inserts a urinary catheter
into the bladder and instills a total of 350 ml of a contrast agent. The nurse empties 500
ml from the urinary catheter drainage bag at the conclusion of the procedure. How many
milliliters does the nurse record as urine? - ANS-150
A nurse is caring for a client diagnosed with acute renal failure. The nurse notes on the
intake and output record that the total urine output for the previous 24 hours was 35 mL.
Urine output that's less than 50 ml in 24 hours is known as: - ANS-anuria.
A nurse is describing the renal system to a client with a kidney disorder. Which structure
would the nurse identify as emptying into the ureters? - ANS-Renal pelvis
A patient has undergone a renal biopsy. After the test, while the patient is resting, the
patient reports severe pain in the back, arms, and shoulders. Which intervention should
be offered by the nurse? - ANS-Assess the patient's back and shoulder areas for signs
of internal bleeding.
A patient is having an MAG3 renogram and is informed that radioactive material will be
injected to determine kidney function. What should the nurse instruct the patient to do
during the procedure? - ANS-Lie still on the table for approximately 35 minutes.
Although the primary function of the urinary system is the transport of urine, the kidneys
perform several functions. Which is NOT a function of the kidneys? - ANS-excreting
protein
An appropriate nursing intervention for the client following a nuclear scan of the kidney
is to: - ANS-Encourage high fluid intake.
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