A client who has a renal mass asks the nurse why an ultrasound has been scheduled, as opposed to other diagnostic tests that may be ordered. The nurse formulates a response based on the understanding that:
a) all other tests are more invasive than an ultrasound
b) all other tests require more ela...
AH1 RENAL HESI NCLEX QUESTIONS
A client who has a renal mass asks the nurse why an ultrasound has been scheduled, as opposed to other diagnostic tests that may be ordered. The nurse formulates a response based on the understanding that:
a) all other tests are more invasive than an ultrasound
b) all other tests require more elaborate postprocedure care
c) an ultrasound can differentiate a solid mass from a fluid-filled cyst
d) an ultrasound is much more cost effective than other diagnostic tests - correct answer c) an ultrasound can differentiate a solid mass from a fluid-filled cyst
A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. The nurse questions the client about compliance with taking which of the following medications that supports red blood cell (RBC) production?
a) iron supplement
b) zinc supplement
c) calcium supplement
d) magnesium supplement - correct answer a) iron supplement
A client has an arteriovenous (A V) fistula in place in the right upper extremity for hemodialysis treatments. When planning care for this client, which of the following measures should the nurse implement to promote client safely?
a) take blood pressures only on the right arm to ensure accuracy
b) use the fistula for all venipunctures and intravenous infusions
c) ensure that small clamps are attached to the A V fistula dressing
d) assess the fistula for the presence of a bruit and thrill every 4 hours - correct answer d) assess the fistula for the presence of a bruit and thrill every 4 hours A nurse is assessing a client who is diagnosed with cystitis. Which assessment finding is inconsistent with the typical clinical manifestations noted in this disorder?
a) hematuria
b) low back pain
c) urinary retention
d) burning on urination - correct answer c) urinary retention
The home care nurse is making follow-up visits to a client following renal transplant. The nurse assesses the client for which signs of acute graft rejection?
a) hypotension, graft tenderness, and anemia
b) hypertension, oliguria, thirst, and hypothermia
c) fever, hypertension, graft tenderness, and malaise
d) fever, vomiting, hypotension, and copious amounts of dilute urine - correct answer c) fever, hypertension, graft tenderness, and malaise
A client is scheduled for computed tomography (CT) of the kidneys to rule out renal disease. As an essential preprocedure component of the nursing assessment, the nurse plans
to ask the client about a history of:
a) familial renal disease
b) frequent antibiotic use
c) long-term diuretic therapy
d) allergy to shellfish or iodine - correct answer d) allergy to shellfish or iodine
The client with an external arteriovenous shunt in place for hemodialysis is at risk for bleeding. The priority nurse action would be to:
a) check the shunt for the presence of bruit and thrill
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