Saunders: Renal Latest Update
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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
w...
URINARY SAUNDERS Latest Update
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A 1-year-old child is diagnosed with intussusception. The mother of the child asks the nurse to describe
the disorder. The nurse should base the response on which description of this disorder? - Answer -
A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel
A 2-year-old child is diagnosed with constipation due to encopresis. Which description is a characteristic
of this disorder? - Answer -The infrequent and difficult passage of dry stools
A 24-hour urine specimen for creatinine and electrolytes has been prescribed for a hospitalized client to
evaluate kidney function. The nurse explains the procedure to the client. The client voids at 0900, and
the urine is discarded. The client voids at 1200 and the urine is measured and placed in the collection
container. At which time the next day should the 24-hour urine collection be complete? Fill in the blank
with the correct military time. - Answer -The urine collection should be complete by 0900 the next
day when a full 24 hours of urine produced by the client will have been collected. The purpose of the
urine collection is to measure the total amount of creatinine and electrolytes excreted in the urine over a
24-hour period. Recall that the bladder is a storage container and the time the bladder is emptied starts
the time that urine is produced and collected.
A child is diagnosed with intussusception. The nurse collects data on the child, knowing that which is a
characteristic of this disorder? - Answer -Invagination of a section of the intestine into the distal
bowel
A child is seen in the clinic, and the primary health care provider documents a diagnosis of primary
nocturnal enuresis. The mother asks the nurse about the diagnosis. Which should the nurse relay to the
mother about primary nocturnal enuresis? - Answer -Primary nocturnal enuresis is common, and
most children will outgrow bed-wetting without therapeutic intervention.
A client complains of leaking urine whenever she sneezes, coughs, or laughs. The nurse recognizes that
this report is consistent with which type of incontinence? - Answer -Stress
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? - Answer -Ambulate in the home.
A client has a continuous catheter irrigation postoperatively after having a transurethral resection of the
prostate. The nurse notes that fluid is entering the bladder, but none appears to be draining. In priority
order, which actions should the nurse take? Arrange the actions in the order they should be performed.
All options must be used. - Answer -1. Check to ensure drainage tubing is not kinked.
, 2. Check the bladder for distention.
3. Ask the client about bladder spasms and discomfort.
4. Review intake and output record.
A client has asymptomatic diverticular disease. Which type of diet should the nurse anticipate being
prescribed? - Answer -High-fiber diet
A client has been diagnosed as having syndrome of inappropriate antidiuretic hormone (SIADH)
secretion following cranial surgery. The nurse interprets that this complication is not resolving if which
urine specific gravity measurement is obtained? - Answer -1.030
A client has been diagnosed with functional incontinence. Which interventions are appropriate to care
for this type of incontinence? Select all that apply. - Answer -1. Schedule toileting every 2 hours.
2. Modify clothing for easy removal.
3. Assess environment for obstacles.
4. Set up schedule of cues such as mealtimes, awakening, and bedtime.
A client has been diagnosed with pyelonephritis. The nurse interprets that which health problem has
placed the client at risk for this disorder? - Answer -Diabetes mellitus
A client has been receiving nitrofurantoin sodium (Macrodantin). The nurse determines that the therapy
is effective if which result is noted? - Answer -Absence of dysuria
A client is admitted to the emergency department following a fall from a horse. The health care provider
(HCP) prescribes the insertion of an indwelling urinary catheter. The nurse notes blood at the urinary
meatus while preparing for the procedure. Which action should the nurse take? - Answer -Notify
the health care provider.
A client is seen in the health care clinic and acute pyelonephritis is suspected. The nurse reviews the
client's record and should expect to note which associated signs and symptoms documented? Select all
that apply. - Answer -1. Chills
2. General weakness
3. Nausea and vomiting
A client is taking docusate sodium (Colace). The nurse monitors which result to determine whether the
client is having a therapeutic effect from this medication? - Answer -Regular bowel movements
A client is to have an upper gastrointestinal (GI) series. Which nursing action should be done concerning
the procedure? - Answer -Administer a laxative after the procedure because barium was
administered.
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. - Answer -1. She performs the Kegel exercises every other day.
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