Nur 514 Exam 5 Review Questions and Correct Answers
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Course
NUR 514
Institution
NUR 514
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse include in the teaching? a) "You will receive contrast dye during the procedure" b) "An enema is necessary before the procedure" c) "You will need to lie pron...
Nur 514 Exam 5 Review Questions and
Correct Answers
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder.
Which of the following statements should the nurse include in the teaching?
a) "You will receive contrast dye during the procedure"
b) "An enema is necessary before the procedure"
c) "You will need to lie prone during the procedure"
d) "The procedure determines whether you have a kidney stone" ✅The procedure
determines whether you have a kidney stone
A nurse is monitoring a patient who had a kidney biopsy for postoperative
complications. Which complication should the nurse identify as the greatest risk to the
client?
Infection
Hemorrhage
Hematuria
Pain ✅Hemorrhage
A nurse is caring for a client with type 2 diabetes mellitus who will have excretory
urography. Prior to the procedure, which actions should the nurse take (select all that
apply)
Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
Obtain blood coagulation profile ✅Identify an allergy to seafood
Withhold metformin for 24 hours
Administer an enema
Access for asthma
A nurse administered captopril to a client during a renal scan. Which of the following
actions should the nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension ✅Monitor for orthostatic hypotension
A nurse is reviewing the results of a client's urinalysis. The findings indicate that the
urine is positive for leukocyte esterase and nitrates. Which of the following actions
should the nurse take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
,Start a 24 hour urine collection for creatinine clearance ✅Obtain a clean-catch urine
sample for culture and sensitivity
A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. Which of the following should the nurse include in the teaching?
Hemodialysis restores kidney function
Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
Hemodialysis returns a balance to blood electrolytes ✅Hemodialysis returns a balance
to blood electrolytes
A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury. Which
of the following actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture ✅Review the medications that the client currently
takes
Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
A nurse is planning post-procedure care for a client who received hemodialysis. Which
of the following interventions should the nurse include in the plan of care? (select all that
apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access ✅Check BUN and blood
creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
A nurse is caring for a client who develops disequilibrium syndrome after receiving
hemodialysis. Which of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
Increase the dialysis exchange rate ✅Assess level of consciousness
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the
following actions should the nurse take? (select all that apply)
, Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site ✅Monitor blood
glucose levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
A nurse is assessing a client with end- stage kidney disease. Which of the following
should the nurse expect? (select all that apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria ✅Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is planning post-operative care for a client following kidney transplant. Which
actions should the nurse include? (select all that apply)
Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Expect oliguria in the first 4 hours
Monitor blood electrolytes ✅Obtain daily weights
Assess dressings for bloody drainage
Replace hourly urine output with IVs
Monitor blood electrolytes
A nurse is teaching a client who is post operative following a kidney transplant and is
taking cyclosporine. Which of the following should the nurse include?
Decrease your intake of protein rich food
Take this medication with grapefruit juice
Monitor and report a sore throat to your provider
Expect your skin to turn yellow ✅Monitor and report a sore throat to your provider
A client who is scheduled for kidney transplant surgery is assessed by the nurse for risk
factors. Which of the following increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
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