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NR 464 - Exam 1 questions (Saunders) - Kidneys and Bladder QUESTIONS AND ANSWERS _ LATEST VERSION F

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NR 464 - Exam 1 questions (Saunders) - Kidneys and Bladder QUESTIONS AND ANSWERS _ LATEST VERSION F

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NR 464 - Exam 1 questions (Saunders) - Kidneys
and Bladder QUESTIONS AND ANSWERS |
LATEST VERSION

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Terms in this set (120)



A client with acute kidney injury has a 1. Place the client on a cardiac monitor.
serum potassium level of 7.0 mEq/L 2. Notify the health care provider (HCP).
(7.0 mmol/L). The nurse should plan 4. Review the client's medications to determine if
which actions as a priority? Select all any contain or retain potassium.
that apply.


1. Place the client on a cardiac
monitor.
2. Notify the health care provider
(HCP).
3. Put the client on NPO (nothing by
mouth) status except for ice chips.
4. Review the client's medications to
determine if any contain or retain
potassium.
5. Allow an extra 500 mL of
intravenous fluid intake to dilute the
electrolyte concentration.

,A client arrives at the emergency 3. Trauma to the bladder or abdomen
department with complaints of low
abdominal pain and hematuria. The
client is afebrile. The nurse next
assesses the client to determine a
history of which condition?



1. Pyelonephritis
2. Glomerulonephritis
3. Trauma to the bladder or abdomen
4. Renal cancer in the client's family


A client is admitted to the emergency 1. Notify the HCP before performing the
department following a fall from a catheterization.
horse and the health care provider
(HCP) prescribes insertion of a
urinary catheter. While preparing for
the procedure, the nurse notes blood
at the urinary meatus. The nurse
should take which action?


1. Notify the HCP before performing
the catheterization.
2. Use a small-sized catheter and an
anesthetic gel as a lubricant.
3. Administer parenteral pain
medication before inserting the
catheter.
4. Clean the meatus with soap and
water before opening the
catheterization kit.

,The nurse is assessing the patency of 1. Palpation of a thrill over the fistula
a client's left arm arteriovenous
fistula prior to initiating hemodialysis.
Which finding indicates that the
fistula is patent?


1. Palpation of a thrill over the fistula
2. Presence of a radial pulse in the
left wrist
3. Visualization of enlarged blood
vessels at the fistula site
4. Capillary refill less than 3 seconds
in the nail beds of the fingers on the
left hand


A client complains of fever, perineal 4. Tender, indurated prostate gland that is warm to
pain, and urinary urgency, frequency, the touch
and dysuria. To assess whether the
client's problem is related to
bacterial prostatitis, the nurse reviews
the results of the prostate
examination for which characteristic
of this disorder?


1. Soft and swollen prostate gland
2. Swollen, and boggy prostate
gland
3. Tender and edematous prostate
gland
4. Tender, indurated prostate gland
that is warm to the touch

, The nurse is collecting data from a 4. Decreased force in the stream of urine
client. Which symptom described by
the client is characteristic of an early
symptom of benign prostatic
hyperplasia?


1. Nocturia
2. Scrotal edema
3. Occasional constipation
4. Decreased force in the stream of
urine


The nurse monitoring a client 1. Check the level of the drainage bag.
receiving peritoneal dialysis notes 2. Reposition the client to his or her side.
that the client's outflow is less than 4. Place the client in good body alignment.
the inflow. Which actions should the 5. Check the peritoneal dialysis system for kinks.
nurse take? Select all that apply.



1. Check the level of the drainage
bag.
2. Reposition the client to his or her
side.
3. Contact the health care provider
(HCP).
4. Place the client in good body
alignment.
5. Check the peritoneal dialysis
system for kinks.
6. Increase the flow rate of the
peritoneal dialysis solution.

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