MED 143 Saunders Renal Quiz Questions with Correct Solutions
21 views 0 purchase
Course
MED 143
Institution
MED 143
MED 143 Saunders Renal Quiz Questions & Answers
1. A client tells the nurse she completed an educational program to manage her stress incontinence but is now discouraged. Which information from the client indicates the need for further teaching? Select all that apply.
- She performs the Keg...
1. A client tells the nurse she completed an educational program to manage her
stress incontinence but is now discouraged. Which information from the client
indicates the need for further teaching? Select all that apply.
- She performs the Kegel exercises every other day.
- She quit drinking coffee with cream but drinks diet cola.
- She has begun an exercise program that includes lifting weights.
2. A client has an arteriovenous (AV) shunt in place for hemodialysis. The nurse should
take which priority precaution knowing that bleeding is a potential complication?
- Ensure that small clamps are attached to the AV shunt dressing.
3. A client with acute glomerulonephritis is admitted to the nursing unit. The nurse
should plan to do which action immediately upon admission?
- Remove the water pitcher from the bedside.
4. The nurse is reviewing the laboratory results and physical examination of a client
with acute glomerulonephritis. Which data should the nurse see? Select all that
apply.
- Proteinuria
- Hematuria
- Periorbital Edema
5. 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?
- Ambulate in the home.
6. Which actions are included in the nursing care of the client undergoing peritoneal
dialysis? Select all that apply.
- Monitor vital signs including temperature.
- Weigh the client before and after dialysis.
- Check color and volume of dialysate solution.
- Maintain aseptic technique when accessing the peritoneal catheter.
7. The nurse is reviewing data on a client with sepsis and acute kidney injury with
related azotemia and oliguria. Which are the primary features of azotemia and
oliguria? Select all that apply.
- Increase in serum creatinine
- Urine output less than 0.5 mL/kg/hour
- Increase in blood urea nitrogen (BUN)
8. A client has undergone a transurethral resection of the prostate (TURP) a few hours
ago to treat symptoms of benign prostatic hypertrophy. The nurse notes bright red
blood and clots in the urinary catheter drainage bag. Which response should be the
nurse's initial action?
- Increase the flow rate of the continuous bladder irrigation.
9. The nurse is assessing the patency of an arteriovenous fistula in the left arm of a
client who is receiving hemodialysis for the treatment of chronic kidney disease.
Which finding indicates that the fistula is patent?
- Palpation of a thrill over the fistula
10. A client has epididymitis as a complication of a urinary tract infection (UTI). The
nurse is giving the client instructions to prevent recurrence. The nurse determines
that the client needs further teaching if the client states the intention to do
which action?
- Continue to take antibiotics until all symptoms are gone.
, 11. A client, who had experienced significant blood loss in an automobile crash, was
admitted to the hospital 2 days earlier. The nurse observes the client for which
signs/symptoms that indicate acute kidney injury (AKI)? Select all that apply.
- Elevated urine specific gravity
- Rising serum blood urea nitrogen (BUN) and creatinine levels
- Urine output averaging 25 mL per hour while receiving an
intravenous infusion at 150 mL/hour
12. A client with end-stage kidney disease (ESKD) begins peritoneal dialysis. The nurse
observes for which signs/symptoms indicating peritonitis? Select all that apply.
- Nausea and vomiting
- Abdominal tenderness
- Cloudy peritoneal effluent
- Oral temperature of 38° C
13. 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?
- Aluminum intoxication
14. The nurse is providing dietary instructions to a client with renal calculi, and the
laboratory analysis has revealed that the calculus is composed of uric acid. The
nurse tells the client that it would be helpful to make which dietary changes?
- Increase intake of legumes in the diet.
15. A client has just undergone renal biopsy. In planning care for this client, the nurse
should avoid which intervention?
- Ambulate in the room and hall for short distances.
16. The nurse is reviewing the client's record and notes that the primary health care
provider (PHCP) has documented that the client has a renal disorder. Which
laboratory results would indicate a decrease in renal function? Select all that
apply.
- Elevated serum creatinine level
- Decreased red blood cell (RBC) count
- Elevated blood urea nitrogen (BUN) level
17. A client who is performing peritoneal dialysis at home calls the clinic and reports
that the outflow from the dialysis catheter seems to be decreasing in amount. The
nurse appropriately asks which question first.
- "Have you experienced any constipation recently?"
18. The nurse suspects the client has a urinary tract infection (UTI). Which
signs/symptoms suggest a UTI? Select all that apply.
- Dysuria
- Hematuria
- Frequency
- Flank Pain
- Cloudy urine
19. The nurse is caring for a client who had a renal biopsy. Which interventions should
the nurse include in the plan of care for the client after this procedure? Select all
that apply.
- Administering pain medication as prescribed
- Monitoring vital signs and the puncture site frequently
- Testing serial urine samples with dipsticks for occult blood
20. The nurse is caring for a client who received a recent kidney transplant. Besides
actual rejection of the transplant, which are some of the most
important complications this client is at risk for? Select all that apply.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Cowell. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
