Exam (elaborations)
Med-Surg I ATI: Renal & Urinary Practice Exam Q’s and A’s
Med-Surg I ATI: Renal & Urinary Practice Exam Q’s and A’s
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Med-Surg I ATI: Renal & UrinaryPractice Exam Q’s and A’s
A nurse is planning care for a client who is postoperative following a
nephrectomy. Which of the following assessments is the priority for the nurse
to evaluate?
a. bowel sounds
b. WBC count
c. pain level
d. blood pressure - -d. blood pressure
The greatest risk to the client is acute adrenal insufficiency. The adrenal
gland can be removed or damaged during nephrectomy. The nurse should
evaluate the client for hypotension, decreased urine output, and decreased
level of consciousness.
- A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate. Upon detecting an output
obstruction, which of the following actions should the nurse take first?
a. irrigate the catheter with normal saline
b. notify the provider
c. check the irrigation tubing for kinks
d. provide PRN pain medication - -c. check the irrigation tubing for kinks
This is the least invasive and most simple action the nurse can take before
moving onto most invasive.
- A nurse is performing an admission assessment on a client who has severe
chronic kidney disease (CKD). Which of the following statements by the client
indicate an understanding of the teaching?
a. "I will check my blood pressure once a week."
b. "I will take magnesium antacid if constipated."
c. "I will weigh myself every morning."
d. "I will use a salt substitute in my diet." - -c. "I will weigh myself every
morning."
The client must weigh themselves daily to monitor fluid balance. BP must be
taken daily. Magnesium antacids can cause magnesium toxicity for a CKD
client. Salt substitutes should be avoided because they have potassium
chloride and can cause hyperkalemia.
- A nurse is performing an admissions assessment on a client who has acute
glomerulonephritis. The nurse should expect which of the following findings?
, a. Low BP
b. Polyuria
c. Dark-colored urine
d. Weight loss - -c. Dark-colored urine
Clients with this condition develop hypertension and have low urine output.
Weight gain usually occurs due to fluid retention.
- A nurse is caring for a client who had acute kidney injury. which of the
following lab findings should the nurse report to the provider
a. serum potassium 5.0
b. serum calcium 9.0
c. serum creatinine 4.0
d. serum amylase 84 - -c. serum creatinine 4.0
Elevated creatinine levels indicate impaired kidney function.
- A nurse is obtaining a urine specimen for culture and sensitivity for a client
who has manifestations of a urinary tract infection. Which of the following
actions should the nurse take?
a. collect the client's urine in a clean specimen container
b. instruct the client to initiate the flow of urine before collecting the
specimen
c. obtain the client's first morning voiding on the following day
d. place the client's urine specimen in a container with a preservative - -b.
instruct the client to initiate the flow of urine before collecting the specimen
Obtain a clean catch specimen for testing.
- A nurse is planning care for a client who has acute glomerulonephritis. The
nurse should plan to provide which of the following interventions?
a. weigh the client daily
b. encourage the client to drink 2 to 3L of fluid per day
c. instruct the client to ambulate every 2 hr.
d. obtain the client's serum blood glucose - -a. weigh the client daily
The nurse must monitor fluid retention by weighing the client daily. A
decrease in weight indicates effectiveness of treatment.
- A nurse is caring for a client who has nephrotic syndrome and has been
taking prednisone for 3 days. Which of the following adverse effects should
the nurse monitor for and report to the provider?
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