Week 10 BSN 445 Sherpath
1. The nurse would document which patient statement when collecting a health
history related to kidney status? Select all that apply. One, some, or all responses
may be correct.
“I regularly take acetaminophen for chronic headaches and back pain.”
“I had a CT scan last week to look for causes of my stomach pain.”
“I take lisinopril to control my hypertension.”
“I feel like I constantly have to pee, but I never get it all out.”
“When I drink orange juice, it doesn’t burn as much when I pee.”
“I had a CT scan last week to look for causes of my stomach pain.”
“I take lisinopril to control my hypertension.”
“I feel like I constantly have to pee, but I never get it all out.”
“When I drink orange juice, it doesn’t burn as much when I pee.”
2. Which patient statement would indicate the development of a rapid fluid
volume gain?
“My mouth feels so dry all of the time.”
“I need to sleep on two extra pillows at night.”
“I have a metallic taste in my mouth.”
“My skin tents up when I pinch it.”
,3. Which patient statement would indicate a potential cause of kidney
dysfunction?
“I had nephrotic syndrome when I was a child.”
“My skin is so dry and itchy all of the time.”
“I have lost 10 pounds in the last 2 months.”
“I always have to pee during the night.”
3. The nurse would prepare to administer intravenous (IV) fluids to a patient
demonstrating which assessment finding?
+2 pitting edema
Moist mucous membranes
Distended jugular veins
Poor skin turgor
4. Which assessment finding would indicate fluid volume overload?
Distention of the jugular veins 1 cm above the sternal notch when the bed is at 45
degrees
Delayed return to shape after pinching the skin over the forearm
, Distention of hand veins for 8 seconds when the hand is elevated
Dryness of the oral cavity and mucous membranes
5. The nurse assesses for edema by applying fingertip pressure to the ankles and
notes a 6-mm indention that remains for about 45 seconds. In which way would
the nurse document these findings?
+1 Pitting edema
+2 Pitting edema
+3 Pitting edema
+4 Pitting edema
6. When the nurse is performing percussion of the kidneys, the patient states,
“Ow! It hurts when you press there!” Based on the assessment findings, the nurse
would assess for which condition?
Pyelonephritis
Kidney stones
Fluid volume deficit
Fluid volume overload
1. The nurse would document which patient statement when collecting a health
history related to kidney status? Select all that apply. One, some, or all responses
may be correct.
“I regularly take acetaminophen for chronic headaches and back pain.”
“I had a CT scan last week to look for causes of my stomach pain.”
“I take lisinopril to control my hypertension.”
“I feel like I constantly have to pee, but I never get it all out.”
“When I drink orange juice, it doesn’t burn as much when I pee.”
“I had a CT scan last week to look for causes of my stomach pain.”
“I take lisinopril to control my hypertension.”
“I feel like I constantly have to pee, but I never get it all out.”
“When I drink orange juice, it doesn’t burn as much when I pee.”
2. Which patient statement would indicate the development of a rapid fluid
volume gain?
“My mouth feels so dry all of the time.”
“I need to sleep on two extra pillows at night.”
“I have a metallic taste in my mouth.”
“My skin tents up when I pinch it.”
,3. Which patient statement would indicate a potential cause of kidney
dysfunction?
“I had nephrotic syndrome when I was a child.”
“My skin is so dry and itchy all of the time.”
“I have lost 10 pounds in the last 2 months.”
“I always have to pee during the night.”
3. The nurse would prepare to administer intravenous (IV) fluids to a patient
demonstrating which assessment finding?
+2 pitting edema
Moist mucous membranes
Distended jugular veins
Poor skin turgor
4. Which assessment finding would indicate fluid volume overload?
Distention of the jugular veins 1 cm above the sternal notch when the bed is at 45
degrees
Delayed return to shape after pinching the skin over the forearm
, Distention of hand veins for 8 seconds when the hand is elevated
Dryness of the oral cavity and mucous membranes
5. The nurse assesses for edema by applying fingertip pressure to the ankles and
notes a 6-mm indention that remains for about 45 seconds. In which way would
the nurse document these findings?
+1 Pitting edema
+2 Pitting edema
+3 Pitting edema
+4 Pitting edema
6. When the nurse is performing percussion of the kidneys, the patient states,
“Ow! It hurts when you press there!” Based on the assessment findings, the nurse
would assess for which condition?
Pyelonephritis
Kidney stones
Fluid volume deficit
Fluid volume overload
