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female patient with a history of diabetes mellitus present at the HCP office with
chills, a high fever, and flank pain. The nurse notes that a collected urine
specimen appears cloudy. Which condition does the nurse expect?
Pyelonephritis
The nurse is collecting data from a male patient and who reports hematuria and
bladder cramping. The patient's history indicates a 20-yr history of smoking and
long-term employment in a tool factory. Which specific test does the nurse expect
the HCP to order?
Urine test for telomerase
The nurse is providing care for older adult clients in an extended care facility.
Which patient will the nurse monitor most closely for symptoms of urosepsis?
The patient who has an indwelling catheter for a urinary tract infection (UTI)
The nurse is providing care for a patient who is diagnosed with urinary
obstruction from a blockage of the urethra. An emergency surgery is schedule.
The nurse is aware of which complication occurring without resolution of the
condition?
Irreparable kidney damage
The nurse is preparing a patient for a cystectomy and the creation of a continent
urinary diversion. For which reason does the nurse identify creation of this type
of diversion?
Convenience for the patient
The nurse is providing support for a client who just finished a hemodialysis
session. Which patient symptom is considered to be a complication of
hemodialysis?
Cardia arrhythmias and angina from fluid loss
The nurse is reinforcing teaching about the most serious side effect of peritoneal
dialysis with a patient scheduled for the first treatment. Which side effect stated
by the patient indicates correct understanding?
Peritonitis
The nurse is providing care for a patient with glomerulonephritis. Which form of
kidney injury should the nurse realize has occurred with this patient?
Intrarenal
The nurse is providing care for a patient scheduled for surgery for the formation
of an orthotropic bladder substitution. Which patient teaching is important for the
nurse to review during the patient's recovery?
How to perform catheterization
Which patient will the nurse consider to be at greatest risk for cancer of the
kidney?
A 50-yr-old make with a 20-yr history of smoking and works in a chemical laboratory
The nurse is collecting data on a patient admitted for
symptoms of renal insufficiency. Which factor will cause the nurse to suspect
, prerenal
injury?
Medications for chronic joint pain and hypertension
The nurse is planning care for a patient
diagnosed with chronic renal failure. The nurse notes that the patient's output is
620 ml
for the last 24 hours. The patient has periorbital edema and crackles in the lung
all
fields upon auscultation. Which intervention is most important for the nurse to
implement during care of this patient?
Obtain daily weights
The nurse is visiting a patient who performs
peritoneal dialysis at home. The nurse is evaluating the patient's techniques and
environment. Which situation is least likely to cause the nurse concern?
The patient verbally expresses symptoms to report to the HCP.
The nurse is providing care for a patient who is scheduled for
the formations of access for hemodialysis. Which important action does the
nurse take
with this patient?
Refrains from drawing blood or placing IV lines in the non
dominate arm
The nurse is assisting with nutrition teaching for a patient who voices
concern over coping with a diabetic diet. Which response by the nurse about
medical
nutrion therapy is correct?
"Your diet will be a well-balanced, individualized meal
plan that is healthy for your whole family."
The nurse is providing care for a marathon runner
who is recently diagnosed with DM. Which explanation regarding exercise is best
for
the nurse to provide?
"You always need to take some emergency glucose with you
when you are running."
The nurse is reinforcing teaching for a patient
who is on four injections of regular insulin daily. About how many hours after
each
injection of insulin does the nurse teach the patient to be alert for symptoms of
hypoglycemia?
3 hours
The nurse is providing information to a patient recently diagnosed with
type 2 DM. The HCP prescribes an oral hypoglycemic medication for BG control.
Which information is the best comparison the nurse can give the patient between
insulin
and an oral hypoglycemic?
Oral hypoglycemic agents stimulate a partially working
pancreas