Nur514 Exam 5 Questions With Complete Solutions
A 21-yr-old female patient received instructions on how to
prevent recurrence of urinary tract infections. Which statement
indicates that teaching was effective?
"I will urinate before and after having intercourse."
"I will use vinegar as a vaginal douche every week."
"I should drink at least 3 8-oz glasses of water daily."
"I can stop the antibiotics when symptoms disappear." Correct
Answers "I will urinate before and after having intercourse."
A 22-yr-old patient's blood pressure during a pre-employment
physical examination was 110/68 mm Hg. During a health fair 2
months later, the blood pressure is 154/96 mm Hg. What renal
problem could contribute to this rise in blood pressure?
Renal trauma
Renal artery stenosis
Renal vein thrombosis
Benign nephrosclerosis Correct Answers Renal artery stenosis
A client who is scheduled for kidney transplant surgery is
assessed by the nurse for risk factors. Which of the following
increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 Correct Answers Age older
than 70
BMI 41
Administering NPH insulin every morning
,past history of lymphoma
A frail 86-yr-old woman with stage 3 chronic kidney disease is
cared for at home by her family. The patient has a history of
taking many over-the-counter medications. Which over-the-
counter medications should the nurse teach the patient to avoid?
Aspirin
Acetaminophen
Diphenhydramine
Aluminum hydroxide Correct Answers Aluminum hydroxide
A nurse administered captopril to a client during a renal scan.
Which of the following actions should the nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension Correct Answers Monitor
for orthostatic hypotension
A nurse is admitting a patient with advanced renal cancer.
Which clinical manifestations represent the "classic triad"
observed in patients with renal cancer?
Fever, chills, and flank pain
Hematuria, flank pain, and palpable mass
Hematuria, proteinuria, and palpable mass
Flank pain, palpable abdominal mass, and proteinuria Correct
Answers Hematuria, flank pain, and palpable mass
A nurse is assessing a client who has prerenal AKI. Which of
the following findings should the nurse expect?
Reduced BUN
,Elevated cardiac enzymes
Reduced urine output
Elevated blood creatinine
Elevated blood calcium Correct Answers Reduced urine output
Elevated blood creatinine
A nurse is assessing a client with end- stage kidney disease.
Which of the following should the nurse expect? (select all that
apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria Correct Answers Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is caring for a client that has a urinary tract infection.
Which is the priority intervention for the nurse?
Offer a warm sitz bath
Recommend drinking cranberry juice
Encourage increased fluids
Administer an antibiotic Correct Answers Administer an
antibiotic
A nurse is caring for a client who develops disequilibrium
syndrome after receiving hemodialysis. Which of the following
actions should the nurse take
Administer an opioid medication
Monitor for hypertension
, Assess level of consciousness
Increase the dialysis exchange rate Correct Answers Assess
level of consciousness
A nurse is caring for a client who has a left renal calculus and an
indwelling catheter. Which of the following assessment findings
is the priority for the nurse to report to the provider?
Flank pain that radiates to the lower abdomen
Client report of nausea
Absent urine output for 1 hour
Blood WBC count of 15000 Correct Answers Absent urine
output for 1 hour
A nurse is caring for a client who has end-stage renal disease
(ESRD). Which of the following are expected findings? (Select
all that apply).
Hypotension
Bradypnea.
Bone pain
Slurred speech
Pruritus Correct Answers Correct! Bone pain
Correct! Slurred speech
Correct! Pruritus
A nurse is caring for a client who has impaired renal function.
For which of the following findings should the nurse notify the
provider?
Urine output of 2,200 mL in the past 24 hr
Urine is cloudy after sitting in the urinal for 6 hr
Urine output of 175 mL in the past 8 hours
A 21-yr-old female patient received instructions on how to
prevent recurrence of urinary tract infections. Which statement
indicates that teaching was effective?
"I will urinate before and after having intercourse."
"I will use vinegar as a vaginal douche every week."
"I should drink at least 3 8-oz glasses of water daily."
"I can stop the antibiotics when symptoms disappear." Correct
Answers "I will urinate before and after having intercourse."
A 22-yr-old patient's blood pressure during a pre-employment
physical examination was 110/68 mm Hg. During a health fair 2
months later, the blood pressure is 154/96 mm Hg. What renal
problem could contribute to this rise in blood pressure?
Renal trauma
Renal artery stenosis
Renal vein thrombosis
Benign nephrosclerosis Correct Answers Renal artery stenosis
A client who is scheduled for kidney transplant surgery is
assessed by the nurse for risk factors. Which of the following
increase risk of surgery?
Age older than 70
BMI 41
Administering NPH insulin every morning
past history of lymphoma
blood pressure averating 120/70 Correct Answers Age older
than 70
BMI 41
Administering NPH insulin every morning
,past history of lymphoma
A frail 86-yr-old woman with stage 3 chronic kidney disease is
cared for at home by her family. The patient has a history of
taking many over-the-counter medications. Which over-the-
counter medications should the nurse teach the patient to avoid?
Aspirin
Acetaminophen
Diphenhydramine
Aluminum hydroxide Correct Answers Aluminum hydroxide
A nurse administered captopril to a client during a renal scan.
Which of the following actions should the nurse take?
Assess for hypertension
Limit fluid intake
Encourage early ambulation
Monitor for orthostatic hypotension Correct Answers Monitor
for orthostatic hypotension
A nurse is admitting a patient with advanced renal cancer.
Which clinical manifestations represent the "classic triad"
observed in patients with renal cancer?
Fever, chills, and flank pain
Hematuria, flank pain, and palpable mass
Hematuria, proteinuria, and palpable mass
Flank pain, palpable abdominal mass, and proteinuria Correct
Answers Hematuria, flank pain, and palpable mass
A nurse is assessing a client who has prerenal AKI. Which of
the following findings should the nurse expect?
Reduced BUN
,Elevated cardiac enzymes
Reduced urine output
Elevated blood creatinine
Elevated blood calcium Correct Answers Reduced urine output
Elevated blood creatinine
A nurse is assessing a client with end- stage kidney disease.
Which of the following should the nurse expect? (select all that
apply)
Anuria
Marked Azotemia
Crackles in the Lungs
Increased calcium level
Proteinuria Correct Answers Anuria
Marked Azotemia
Crackles in the Lungs
Proteinuria
A nurse is caring for a client that has a urinary tract infection.
Which is the priority intervention for the nurse?
Offer a warm sitz bath
Recommend drinking cranberry juice
Encourage increased fluids
Administer an antibiotic Correct Answers Administer an
antibiotic
A nurse is caring for a client who develops disequilibrium
syndrome after receiving hemodialysis. Which of the following
actions should the nurse take
Administer an opioid medication
Monitor for hypertension
, Assess level of consciousness
Increase the dialysis exchange rate Correct Answers Assess
level of consciousness
A nurse is caring for a client who has a left renal calculus and an
indwelling catheter. Which of the following assessment findings
is the priority for the nurse to report to the provider?
Flank pain that radiates to the lower abdomen
Client report of nausea
Absent urine output for 1 hour
Blood WBC count of 15000 Correct Answers Absent urine
output for 1 hour
A nurse is caring for a client who has end-stage renal disease
(ESRD). Which of the following are expected findings? (Select
all that apply).
Hypotension
Bradypnea.
Bone pain
Slurred speech
Pruritus Correct Answers Correct! Bone pain
Correct! Slurred speech
Correct! Pruritus
A nurse is caring for a client who has impaired renal function.
For which of the following findings should the nurse notify the
provider?
Urine output of 2,200 mL in the past 24 hr
Urine is cloudy after sitting in the urinal for 6 hr
Urine output of 175 mL in the past 8 hours
