MED 143 Saunders Renal Quiz Questions with Correct Solutions

MED 143 Saunders Renal Quiz Questions & Answers 1. A client tells the nurse she completed an educational program to manage her stress incontinence but is now discouraged. Which information from the client indicates the need for further teaching? Select all that apply. - She performs the Kegel exercises every other day. - She quit drinking coffee with cream but drinks diet cola. - She has begun an exercise program that includes lifting weights. 2. A client has an arteriovenous (AV) shunt in place for hemodialysis. The nurse should take which priority precaution knowing that bleeding is a potential complication? - Ensure that small clamps are attached to the AV shunt dressing. 3. A client with acute glomerulonephritis is admitted to the nursing unit. The nurse should plan to do which action immediately upon admission? - Remove the water pitcher from the bedside. 4. The nurse is reviewing the laboratory results and physical examination of a client with acute glomerulonephritis. Which data should the nurse see? Select all that apply. - Proteinuria - Hematuria - Periorbital Edema 5. A client diagnosed with chronic kidney disease is being treated at home with continuous ambulatory peritoneal dialysis. The client notes that there is a decrease in the catheter outflow following the prescribed 6-hour dwell time and calls the nurse to report this occurrence. The nurse should reinforce instructing the client to take which action? - Ambulate in the home. 6. Which actions are included in the nursing care of the client undergoing peritoneal dialysis? Select all that apply. - Monitor vital signs including temperature. - Weigh the client before and after dialysis. - Check color and volume of dialysate solution. - Maintain aseptic technique when accessing the peritoneal catheter. 7. The nurse is reviewing data on a client with sepsis and acute kidney injury with related azotemia and oliguria. Which are the primary features of azotemia and oliguria? Select all that apply. - Increase in serum creatinine - Urine output less than 0.5 mL/kg/hour - Increase in blood urea nitrogen (BUN) 8. A client has undergone a transurethral resection of the prostate (TURP) a few hours ago to treat symptoms of benign prostatic hypertrophy. The nurse notes bright red blood and clots in the urinary catheter drainage bag. Which response should be the nurse's initial action? - Increase the flow rate of the continuous bladder irrigation. 9. The nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic kidney disease. Which finding indicates that the fistula is patent? - Palpation of a thrill over the fistula 10. A client has epididymitis as a complication of a urinary tract infection (UTI). The nurse is giving the client instructions to prevent recurrence. The nurse determines that the client needs further teaching if the client states the intention to do which action? - Continue to take antibiotics until all symptoms are gone. 11. A client, who had experienced significant blood loss in an automobile crash, was admitted to the hospital 2 days earlier. The nurse observes the client for which signs/symptoms that indicate acute kidney injury (AKI)? Select all that apply. - Elevated urine specific gravity - Rising serum blood urea nitrogen (BUN) and creatinine levels - Urine output averaging 25 mL per hour while receiving an intravenous infusion at 150 mL/hour 12. A client with end-stage kidney disease (ESKD) begins peritoneal dialysis. The nurse observes for which signs/symptoms indicating peritonitis? Select all that apply. - Nausea and vomiting - Abdominal tenderness - Cloudy peritoneal effluent - Oral temperature of 38° C 13. A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate-binding agent. The client now has mental cloudiness, dementia, and complaints of bone pain. Which does this data indicate? - Aluminum intoxication 14. The nurse is providing dietary instructions to a client with renal calculi, and the laboratory analysis has revealed that the calculus is composed of uric acid. The nurse tells the client that it would be helpful to make which dietary changes? - Increase intake of legumes in the diet. 15. A client has just undergone renal biopsy. In planning care for this client, the nurse should avoid which intervention? - Ambulate in the room and hall for short distances. 16. The nurse is reviewing the client's record and notes that the primary health care provider (PHCP) has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? Select all that apply. - Elevated serum creatinine level - Decreased red blood cell (RBC) count - Elevated blood urea nitrogen (BUN) level 17. A client who is performing peritoneal dialysis at home calls the clinic and reports that the outflow from the dialysis catheter seems to be decreasing in amount. The nurse appropriately asks which question first. - "Have you experienced any constipation recently?" 18. The nurse suspects the client has a urinary tract infection (UTI). Which signs/symptoms suggest a UTI? Select all that apply. - Dysuria - Hematuria - Frequency - Flank Pain - Cloudy urine 19. The nurse is caring for a client who had a renal biopsy. Which interventions should the nurse include in the plan of care for the client after this procedure? Select all that apply. - Administering pain medication as prescribed - Monitoring vital signs and the puncture site frequently - Testing serial urine samples with dipsticks for occult blood 20. The nurse is caring for a client who received a recent kidney transplant. Besides actual rejection of the transplant, which are some of the most important complications this client is at risk for? Select all that apply. - Malignancies - Cardiovascular disease - Susceptibility to infection - Corticosteroid-related complications 21. A client with new-onset renal failure is having a first hemodialysis treatment. The nurse is especially careful to monitor the client for which signs/symptoms after the dialysis treatment? - Headache, decreasing level of consciousness, and seizures 22. The nurse is caring for a hospitalized client following cystoscopy. Which discharge instructions are given to the client? Select all that apply. - Use antispasmodics for pain. - Take sitz baths for voiding discomfort. - Report severe pain to health care provider. 23. The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of which complication? - Hyperglycemia 24. A client's kidneys are retaining larger than normal amounts of sodium. The nurse is reviewing the most recent laboratory data. The nurse should expect which laboratory value to be abnormal since the client is retaining sodium? - Chloride 112 mEq/L 25. The nurse is assisting in planning a teaching session with a client diagnosed with urethritis caused by infection with Chlamydia. The nurse should plan to include which point in the teaching session? - The most serious complication of this infection is sterility. 26. After a renal biopsy, the client complains of pain at the biopsy site that radiates to the front of the abdomen. Which would this indicate? - Bleeding 27. The nurse is assisting a client with cystitis to select foods that are appropriate for an acid-ash diet. The nurse encourages the client to eat which food? - Cheese 28. The nurse is caring for a 58-year-old client with chronic kidney disease who is receiving peritoneal dialysis. Which finding is considered most important by the nurse, requiring primary health care provider notification? Refer to chart. - WBC 15,000 mm 29. The nurse is caring for the client with epididymitis. Which treatment modalities should be implemented? Select all that apply. - Bed Rest - Sitz Bath - Antibiotics - Scrotum Elevation 30. A client, on the waiting list for a renal transplant, receives a hemodialysis treatment. Which findings indicate to the nurse that the hemodialysis treatment has been effective? Select all that apply. - Serum blood urea nitrogen (BUN) and creatinine levels are lower than predialysis. - The client's weight is 2 kilograms less than predialysis weight. - Serum potassium level is within the normal range. 31. A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. Which are the signs/symptoms of transurethral resection (TUR) syndrome? - Bradycardia and confusion 32. The nurse is assisting a client who is new to a low-potassium diet to select food items from the menu. Which food item is lowest in potassium and should be recommended to the client on this dietary restriction? - Lima Beans