ATI MEDSURG - RENAL AND URINARY
QUESTIONS WITH CORRECT ANSWERS
a nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a ne
w left arteriovenous fistula. Which of the following statements should the nurse make? -
correct answer-"Avoid taking blood pressure on the client's left arm." -
the nurse should avoid taking blood pressure measurements on the client's left arm, which can d
ecrease blood flow and cause clotting
- the nurse should check the fistula every 4 hr for blood flow
- the client should perform ROM exercises of the left arm
-
sleeping on top of the extremity with the access site can cause impairment of blood flow and po
ssible clotting
A nurse is collecting data from a client who is postoperative following a transurethral resection of
the prostate (TURP). After the nurse discontinues the client's urinary catheter, which of the followi
ng findings should the nurse report to the provider? - correct answer-decreased urine output -
a decrease in urine output after a TURP indicates obstruction to urine flow by a clot or residual
prostatic tissue and should be reported to the provider
- pink-tinged urine and blood clots are an expected finding for several days following a TURP
-
burning upon urination and urinary frequency are expected findings after a TURP and should decr
ease after several days
- stress incontinence is an expected finding following a TURP due to poor sphincter control
, a nurse is reinforcing teaching with a client who has chronic kidney disease (CKD). Which of the f
ollowing instructions should the nurse include? - correct answer-limit fluid intake -
clients with CKD should limit fluid intake to prevent hypervolemia, or excessive fluid overload
-
a client who has CKD should increase caloric intake so that the body can use protein for protein
synthesis instead of energy consumption. Using protein for energy can lead to a negative nitrogen
balance and malnutrition
- a client who has CKD should limit phosphorus intake because the kidney are unable to excrete it
- a client who has CKD should not eat excessive protein to prevent the build-
up of protein waste products and uremia
A nurse is collecting data from a client who is 1 week postoperative following a living donor kidne
y transplant. Which of the following findings should indicate to the nurse that the client is experie
ncing acute kidney rejection? - correct answer-blood pressure 160/90 mm Hg -
due to kidney's role in fluid and BP regulation, a client who is experiencing rejection can have HT
N
-
manifestations of acute kidney rejection can include an increase in serum creatinine. This finding i
s within the expected reference range
-
manifestations of acute kidney rejection can include an increase in sodium. this finding is within t
he expected reference range
-
manifestations of acute kidney rejection can include decrease urine output, anuria (no urine outp
ut) or oliguria (less than 30 ml/hr), and weight gain
A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following stat
ements should indicate to the nurse the need for additional instructions? - correct answer-
"I will use a vaginal douche daily." -
QUESTIONS WITH CORRECT ANSWERS
a nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a ne
w left arteriovenous fistula. Which of the following statements should the nurse make? -
correct answer-"Avoid taking blood pressure on the client's left arm." -
the nurse should avoid taking blood pressure measurements on the client's left arm, which can d
ecrease blood flow and cause clotting
- the nurse should check the fistula every 4 hr for blood flow
- the client should perform ROM exercises of the left arm
-
sleeping on top of the extremity with the access site can cause impairment of blood flow and po
ssible clotting
A nurse is collecting data from a client who is postoperative following a transurethral resection of
the prostate (TURP). After the nurse discontinues the client's urinary catheter, which of the followi
ng findings should the nurse report to the provider? - correct answer-decreased urine output -
a decrease in urine output after a TURP indicates obstruction to urine flow by a clot or residual
prostatic tissue and should be reported to the provider
- pink-tinged urine and blood clots are an expected finding for several days following a TURP
-
burning upon urination and urinary frequency are expected findings after a TURP and should decr
ease after several days
- stress incontinence is an expected finding following a TURP due to poor sphincter control
, a nurse is reinforcing teaching with a client who has chronic kidney disease (CKD). Which of the f
ollowing instructions should the nurse include? - correct answer-limit fluid intake -
clients with CKD should limit fluid intake to prevent hypervolemia, or excessive fluid overload
-
a client who has CKD should increase caloric intake so that the body can use protein for protein
synthesis instead of energy consumption. Using protein for energy can lead to a negative nitrogen
balance and malnutrition
- a client who has CKD should limit phosphorus intake because the kidney are unable to excrete it
- a client who has CKD should not eat excessive protein to prevent the build-
up of protein waste products and uremia
A nurse is collecting data from a client who is 1 week postoperative following a living donor kidne
y transplant. Which of the following findings should indicate to the nurse that the client is experie
ncing acute kidney rejection? - correct answer-blood pressure 160/90 mm Hg -
due to kidney's role in fluid and BP regulation, a client who is experiencing rejection can have HT
N
-
manifestations of acute kidney rejection can include an increase in serum creatinine. This finding i
s within the expected reference range
-
manifestations of acute kidney rejection can include an increase in sodium. this finding is within t
he expected reference range
-
manifestations of acute kidney rejection can include decrease urine output, anuria (no urine outp
ut) or oliguria (less than 30 ml/hr), and weight gain
A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following stat
ements should indicate to the nurse the need for additional instructions? - correct answer-
"I will use a vaginal douche daily." -
