Question: The nurse has admitted a client with uremia. The nurse questions the client about a history of which health problem?
A) Polycystic kidney disease
B) End-stage renal failure
C) Pyelonephritis
D) Cystitis

Answer: ANS:B

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Question: A client receiving peritoneal dialysis has outflow that is 200 ml less than the inflow for 2 consecutive exchanges. Which actions would be appropriate for the nurse to take at this time? Select all that apply.
A) Examine the abd dressing
B) Change clients position
C) Lower the drainage bag
D) Continue to monitor the outflow in future exchanges
E) Irrigate the peritoneal dialysis catheter

Answer: ANS: A, B, C

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Question: The nurse is planning to teach the client with acute glomerulonephritis about necessary dietary restrictions. Which dietary changes should the nurse include in the plan?
A) Limit fluid intake to 500 ml perday
B) Restrict protein intake by limiting meats and other high protein foods
C) Increase intake of high fiber foods, such as bran cereal.
D) Increase intake of potassium-rich foods such as bananas or canteloupe

Answer: ANS: B

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Question: A client develops a renal disorder after taking an antibiotic that is known to have nephrotoxic effects. The nurse adds a standardized care plan to the client's medical record for which disorder?
A) Polycystic kidney disease
B) Glomerulonephritis
C) Acute renal failure
D) Chronic renal failure

Answer: ANS: C

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Question: A client with a chronic UTI is scheduled for a number of lab tests. The nurse would note that which test result best evaluates whther the kidneys are being adversely affected?
A) Serum potassium 3.8
B) UA specific gravity 1.015
C) Serum creatinine 2.0
D) Urine culture negative

Answer: ANS: C

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Question: The nurse is teaching a female client with recurrent cystitis who is scheduled for cystoscopy in the morning. Which preprocedure instructions should the nurse include in the teaching?
A) Take Tylenol and Benadryl the morning of the test to minimize allergic reaction
B) Light breakfast may be eaten
C) This test is only used to diagnose disorders
D) Take a laxative the evening before procedure

Answer: ANS: D

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Question: The nurse is teaching the client to perform peritoneal dialysis. The nurse reviews which essential action that will help to prevent the major complication of peritoneal dialysis?
A) Monitor postvoid residuals
B) Maintain strict aseptic technique during connection and disconnection
C) Add heparin to dialysate at least once per day
D) Change catheter site dressing twice daily

Answer: ANS: B

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Question: A client is admitted to the E.D. with suspected urolithiasis. The nurse questions the client about the presence of which symptom that would be expected with urolithiasis?
A) Flank pain
B) Difficult urination
C) Absence of urine
D) Headache

Answer: ANS: A

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Question: The nurse is caring for a client immediately following a transurethral prostatectomy (TURP). The nurse places high priority on which nursing interventions in the immediate post-op period for this client? Select all that apply.
A) Asses for signs of a UTI
B) Prevent post-op atelectasis
C) Discontinue urinary catheter asap
D) Adjust flow rate of the bladder irrigant to keep catheter patent
E) Monitor the amount of blood in the urine

Answer: ANS: B, D, E

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Question: The nurse is reviewing health care provider prescriptions for a client diagnosed with end-stage renal failure. Which diet should the nurse expect the provider to prescribe for this client?
A) Increased protein, decreased CHO
B) Restricted protein, increased CHO
C) Increased potassium and sodium
D) Increased phosphorus and magnesium

Answer: ANS: B

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Question: The nurse is assessing cognitive status on a client who ahd developed urinary incontinence. When questioned by the family, the nurse explains that this assessment will help to determine what condition?
A) Stress incontinence
B) Overflow incontinence
C) Functional incontinence
D) Mixed incontinence

Answer: ANS: C

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Question: An older adult male reports to the nurse that he has difficulty starting urination and is voiding several times during the night. The nurse suspects that this client has which condition?
A) BPH
B) UTI
C) Urethral strictures
D) Urethritis

Answer: ANS: A

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Question: Which nursing action is most appropriate when caring for a client with a nursing dx of excess fluid volume r/t renal insufficiency?
A) Teaching clients about sodium content of foods
B) Administering vitamin D supplements
C) Assessing and documenting clients energy level
D) Observing for signs of hypocalcemia

Answer: ANS: A

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Question: The nurse is caring for a client with recurrent cystitis. Which instruction should be included prior to discharge?
A) Limit fluid daily intake to decrease the urge to void.
B) There is no relationship between sexual intercourse and cystitis
C) Void at least q4h even if the urge is absent
D) Daily cranberry juice has been proven to decrease the number of UTIs

Answer: ANS: C

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Question: A client has undergone creation of an ileal conduit. Which instruction to the client about urostomy care would be appropriate to include in the teaching plan?
A) Cut the faceplate of the appliance so that the opening is slightly smaller than the stoma
B) Plan to do appliance changes just before bedtime
C) Limit fluids to minimize odor from urine breakdown to ammonia
D) Cleanse the skin around the stoma using gentle soap and water, rinse and dry well

Answer: ANS: D

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Question: The nurse is reviewing the past medical history of a client diagnosed with chronic renal failure. Which conditions in the client's history most likely contributed to the client's renal failure? Select all that apply.
A) DM type 1
B) HTN
C) SLE
D) Hypothyroidism
E) Hiatal hernia

Answer: ANS: A, B, C

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Question: The nurse is conducting discharge teaching with a client following insertion of a new AV fistula in the L arm for hemodialysis. The nurse will be sure to include which topics in discussions with this client? Select all that apply.
A) Avoid carrying items with the left arm
B) Assess the fistula daily for redness or drainage
C) BP should be taken in the right arm only
D) Sleep on the left side
E) It is expected to have some bleeding at the access site after a dialysis treatment

Answer: ANS: A, B, C

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