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pippi713713 pippi713713
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3 years ago
The nurse is giving discharge instructions to a client treated for renal calculi. The nurse explains that the stones can be prevented in many cases by:
  1. drinking 8-10 glasses of water daily.
  2. engaging in frequent aerobic exercise.
  3. taking urinary antiseptic agents to prevent urinary tract infections.
  4. restricting protein and foods that cause high uric acid

Question 2

A client with a history of UTIs asks what can be done besides taking antibiotics to help prevent them from occurring. What should the nurse recommend to this client? (Select all that apply.)
  1. Take bilberry capsules
  2. Limit the intake of alcohol
  3. Take extra vitamin C everyday
  4. Drink cranberry juice everyday
  5. Increase the intake of fat in the diet

Question 3

The nurse monitors a client receiving peritoneal dialysis for signs of peritonitis. Which assessment finding should be reported to the physician?
  1. Abdomen is tender to palpation.
  2. Dialysate return is cloudy and yellow.
  3. Skin is pale and dry.
  4. Temperature is 36.8 C.

Question 4

When caring for a client with chronic renal failure (CRF), the nurse should plan to administer which medication?
  1. Anti-arrhythmic agent
  2. Antidiarrheal
  3. Opioid analgesic
  4. Folic acid supplement

Question 5

Following an intravenous pyelogram (IVP), the nurse encourages fluid intake, recognizing that this is necessary to prevent which renal complication?
  1. Polycystic kidney disease
  2. Chronic renal failure
  3. Glomerulonephritis
  4. Acute renal failure

Question 6

The nurse is checking lab values on a client who has just had a hemodialysis treatment. What would indicate to the nurse that the client's renal dialysis was effective?
  1. A decrease in potassium level
  2. An increase in serum creatinine
  3. A decrease in white cell count
  4. An increase in hemoglobin level

Question 7

The nurse obtains a urine specimen from a client with glomerulonephritis. What should the nurse expect to find when inspecting this specimen?
  1. Cloudy with some hematuria
  2. Clear amber with a foul odor
  3. Dark brown
  4. Clear and very dilute
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The answer to question 1

Answer: 1

1. High fluid intake keeps urine diluted and prevents stasis of urine.
2. Exercise might be helpful to prevent calcium stones but not all kidney stones.
3. Urinary antiseptic agents will not prevent all stone formation.
4. Stone analysis must be done for specific dietary restrictions to be appropriate.

The answer to question 2

Answer: 1, 2, 3, 4

1. Bilberry (a relative of the blueberry) is recommended to reduce UTIs and is available as an herbal extract in capsules.
2. Dietary changes to prevent UTIs include reducing the intake of alcohol.
3. Vitamin C supplements can help treat and prevent UTIs.
4. Cranberry products are effective in preventing UTI, especially in women with recurrent UTIs. Cranberry interferes with the ability of bacteria to attach to epithelial cells in the urinary tract. Juice appears to be more effective than cranberry capsules, particularly when consumed more than twice a day.
5. Dietary changes to prevent UTIs include reducing the intake of fat.

The answer to question 3

Answer: 2

1. The abdomen might be tender due to distention from the fluid; severe pain would be a concern.
2. Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow.
3. Skin color is not a concern.
4. A temperature of 36.8 C is within normal limits.

The answer to question 4

Answer: 4

1. Anti-arrhythmic medication is not routinely needed.
2. Clients tend to be constipated, not have diarrhea.
3. Opioid analgesics are not routinely needed.
4. Folic acid is given to stimulate red blood cell production, since clients with CRF are often anemic.

The answer to question 5

Answer: 4

1. Contrast media used for an IVP does not cause polycystic kidney disease.
2. The contrast media used in the IVP will not cause chronic renal failure.
3. The contrast media used in the IVP will not cause glomerulonephritis.
4. The contrast media used in the IVP can precipitate prerenal failure; increasing fluids promotes excretion of the dye.

The answer to question 6

Answer: 2

1. Hemodialysis removes excess potassium from the blood stream.
2. Hemodialysis will not affect serum creatinine level.
3. Hemodialysis does not affect white blood cell counts.
4. Hemodialysis does not affect hemoglobin level.

The answer to question 7

Answer: 1

1. Damage to the capillary membrane allows blood cells and protein to escape.
2. Foul odor is associated with an infection.
3. Dark brown urine would be concentrated.
4. Clear and diluted urine would be associated with renal failure.
This verified answer contains over 550 words.

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