A nurse cares for a client who has pyelonephritis. The client states, I am embarrassed to talk about my symptoms. How should the nurse respond?
a. I am a professional. Your symptoms will be kept in confidence.
b. I understand. Elimination is a private topic and shouldn't be discussed.
c. Take your time. It is okay to use words that are familiar to you.
d. You seem anxious. Would you like a nurse of the same gender to care for you?
Question 2A nurse assesses a client who has a family history of polycystic kidney disease (PKD). For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Nocturia
b. Flank pain
c. Increased abdominal girth
d. Dysuria
e. Hematuria
f.
Diarrhea
Question 3A nurse cares for a client who is recovering after a nephrostomy tube was placed 6 hours ago. The nurse notes drainage in the tube has decreased from 40 mL/hr to 12 mL over the last hour. Which action should the nurse take?
a. Document the finding in the client's record.
b. Evaluate the tube as working in the hand-off report.
c. Clamp the tube in preparation for removing it.
d. Assess the client's abdomen and vital signs.
Question 4After teaching a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. I can prevent more damage to my kidneys by managing my blood pressure.
b. If I have increased urination at night, I need to drink less fluid during the day.
c. I need to see the registered dietitian to discuss limiting my protein intake.
d. It is important that I take my antihypertensive medications as directed.
Question 5A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma. The nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour.
Which action should the nurse take?
a.
Position the client to lay on the surgical incision.
b.
Measure the specific gravity of the client's urine.
c.
Administer intravenous pain medications.
d.
Assess the rate and quality of the client's pulse.
Question 6After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the nutritional therapy for this condition?
a. I must decrease my intake of fat.
b. I will increase my intake of protein.
c. A decreased intake of carbohydrates will be required.
d. An increased intake of vitamin C is necessary.
Question 7An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus.
Which prescription should the nurse consult the provider about before implementation?
a.
Assessing vital signs every 15 minutes
b.
Inserting an indwelling urinary catheter
c.
Administering intravenous fluids at 125 mL/hr
d.
Typing and crossmatching for blood products
Quick Reply
