12/7/23,g6:55gA TargetedgMedicalgSurgicalgAssessmentsgRenalgandgUrinarygAssessm
M ent
Agnursegisgcaringgforgagclientgwhoghasgcontinuousgbladdergirrigationgfollowinggagtransuret
hralg resectiongofgthegprostate.gUpongdetectinggangoutputgobstruction,gwhichgofgthegfollowi
nggactionsg shouldgthegnursegtakegfirst?
-Irrigategthegcathetergw/gnormalgsaline
-Notifygthegprovider
-Checkgthegirrigationgtubinggforgkinks
-ProvidegthegPRNgpaingmedication
-Checkgthegirrigationgtubinggforgkinks
Thegfirstgactiongthegnursegshouldgtakegisgtogcheckgthegirrigationgtubinggforgkinkinggorgclot
sgasgtheseg cangpreventgoutflowgofgfluids
Agnursegisgprovidingginstructionsgregardinggreducedgdietarygintakegofgpotassiumgforgagclien
tgwhog hasgchronicgkidneygdisease.gWhichgofgthegfollowinggfoodgselectionsgisgappropriateg
forgthegnursegtog recommendgtogthegclient?
- 1gcupgcubedgcantaloupe
-1gcupgboiledgspinach
- 1gbakedgpotato
-1glargegapple
- 1glargegapple
Ofgtheglistedgfoods,g1glargegapplegisgtheglowestgingpotassium,gcontainingg239gmggper
gservingg Agnursegisgcaringgforgagclientgwhoghasgacutegkidneyginjury.gWhichgofgthegfo
llowingglaboratoryg findingsgshouldgthegnursegreportgtogthegprovider?
- serumgpotassiumg5.0gmEq/L
- Serumgcalciumg9.0gmg/dL
- Serumgcreatinineg4.0gmg/dL
- Serumgamylaseg84gIU/L
- Serumgcreatinineg4.0gmg/dL
Normalgrangegisg0.6g-g1.3gmg/dL
Agnursegisgcaringgforgagclientgimmediatelygfollowinggagkidneygtransplant.gThegnursegsho
uldg identifygwhichgofgthegfollowinggclientgfindingsgasgagpossiblegindicationgofgagdelaygi
ngfunctioningg ofgthegtransplantedgkidney?
- Bloodgpressureg110/58gmmgHg
- Incisionalgtenderness
- Pinkgandgbloodygurine
- Urinegoutputg30gmL/2ghr
- Urinegoutputg30gmLg/g2hr
Agminimumgurinegoutputgofg30gmL/hrgisgexpectedgfollowinggagrenalgtransplant.gThegnurse
gshouldg monitorgforgadequategoutputgorgagdecreasegingtheghourlygoutput.
Agnursegisgassessinggagclientgwhoghasgchronicgkidneygdiseasegandghasgcompletedghergthird
g peritonialgdialysisg(PD)gtreatment.gWhichgofgthegfollowinggfindingsgshouldgthegnursegrep
ortgtogtheg provider?
- Greatergoutflowgofgdialysategthanginflow
- Weightgloss
about:blank 1/10
, 12/7/23,g6:55gA TargetedgMedicalgSurgicalgAssessmentsgRenalgandgUrinarygAssessm
M ent
- Cloudygdialysategeffluent
- Reportgofgpaingduringginflow
- Cloudygdialysategeffluent
Cloudygorgopaquegdrainagegisgangearlygmanifestationgofgperitonitis.gThegnursegshouldgnotif
ygtheg providergimmediatelygbecauseginfectiongcangbegaglife-threateninggcomplication.
Agnursegisgperforminggangadmissiongassessmentgongagclientgwhoghasgseveregchronicgki
dneyg diseaseg(CKD).gWhichgofgthegfollowinggfindingsgshouldgthegnursegexpectgforgthis
gclient?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia
g Tachypn
ea
ThegnursegshouldgexpectgthegclientgwhoghasgseveregCKDgtoghavegtachypneagduegtogmetab
olicg acidosis
Agnursegisgplanninggcaregforgagclientgwhoghasgacutegglomerulonephritis.gThegnursegshould
gplangtog providegwhichgofgthegfollowingginterventions?
- weighgthegclientgdaily.
- Encouragegthegclientgtogdrinkg2gtog3gLgofgfluidgpergday
- Instructgthegclientgtogambulategeveryg2ghr.
- Obtaingthegclient'sgserumgbloodggluc
oseg Weighgthegclientgdaily
Agnursegisgcaringgforgaghospitalizedgclientgwhogreceivedghemodialysisg1ghrgago.gWhengev
aluatingg thegclient'sgstatusgaftergdialysis,gwhichgofgthegfollowingginformationgshouldgthegn
ursegassessgforg first?
- Serumgpotassiumglevel
- Bodygweight
- Serumgcreatinineglevel
- Vitalgsign
sg Vitalgsig
ns
WhengusinggABCsgapproachgtogclientgcare,gthegnursegshouldgdeterminegthatgthegprioritygin
fogtog assesgisgthegclient'sgV/S
Agnursegisgcaringgforgagclientgwhoghasgchronicgkidneygfailuregandgthegfollowingglabgresult
s:gBUNg 196gmg/dL,gsodiumg152gmEq/L,gandgpotassiumg7.3gmEq/L.gWhichgofgthegfollow
ingginterventionsg shouldgthegnursegimplement?
- InitiategangIVginfusiongofg0.9%gsodiumgchloride
- Givegoralgspironolactone
- Infusegreg.ginsulingingdextroseg10g%gingwater
- Administergfurosemide
Infusegregularginsulingingdextroseg10%gingwater.
Thegclientgwhoghasgelevatedgpotassiumglevelgshouldgreceivegreg.ginsulingw/gdextroseg10%g
ingwaterg bygcontinuousgIVginfusiongtogfacilitategmovinggpotassiumgoutgofgthegextracellular
gfluidgintog intracellulargfluid.
Thisgisgagpreview
about:blank 2/10
M ent
Agnursegisgcaringgforgagclientgwhoghasgcontinuousgbladdergirrigationgfollowinggagtransuret
hralg resectiongofgthegprostate.gUpongdetectinggangoutputgobstruction,gwhichgofgthegfollowi
nggactionsg shouldgthegnursegtakegfirst?
-Irrigategthegcathetergw/gnormalgsaline
-Notifygthegprovider
-Checkgthegirrigationgtubinggforgkinks
-ProvidegthegPRNgpaingmedication
-Checkgthegirrigationgtubinggforgkinks
Thegfirstgactiongthegnursegshouldgtakegisgtogcheckgthegirrigationgtubinggforgkinkinggorgclot
sgasgtheseg cangpreventgoutflowgofgfluids
Agnursegisgprovidingginstructionsgregardinggreducedgdietarygintakegofgpotassiumgforgagclien
tgwhog hasgchronicgkidneygdisease.gWhichgofgthegfollowinggfoodgselectionsgisgappropriateg
forgthegnursegtog recommendgtogthegclient?
- 1gcupgcubedgcantaloupe
-1gcupgboiledgspinach
- 1gbakedgpotato
-1glargegapple
- 1glargegapple
Ofgtheglistedgfoods,g1glargegapplegisgtheglowestgingpotassium,gcontainingg239gmggper
gservingg Agnursegisgcaringgforgagclientgwhoghasgacutegkidneyginjury.gWhichgofgthegfo
llowingglaboratoryg findingsgshouldgthegnursegreportgtogthegprovider?
- serumgpotassiumg5.0gmEq/L
- Serumgcalciumg9.0gmg/dL
- Serumgcreatinineg4.0gmg/dL
- Serumgamylaseg84gIU/L
- Serumgcreatinineg4.0gmg/dL
Normalgrangegisg0.6g-g1.3gmg/dL
Agnursegisgcaringgforgagclientgimmediatelygfollowinggagkidneygtransplant.gThegnursegsho
uldg identifygwhichgofgthegfollowinggclientgfindingsgasgagpossiblegindicationgofgagdelaygi
ngfunctioningg ofgthegtransplantedgkidney?
- Bloodgpressureg110/58gmmgHg
- Incisionalgtenderness
- Pinkgandgbloodygurine
- Urinegoutputg30gmL/2ghr
- Urinegoutputg30gmLg/g2hr
Agminimumgurinegoutputgofg30gmL/hrgisgexpectedgfollowinggagrenalgtransplant.gThegnurse
gshouldg monitorgforgadequategoutputgorgagdecreasegingtheghourlygoutput.
Agnursegisgassessinggagclientgwhoghasgchronicgkidneygdiseasegandghasgcompletedghergthird
g peritonialgdialysisg(PD)gtreatment.gWhichgofgthegfollowinggfindingsgshouldgthegnursegrep
ortgtogtheg provider?
- Greatergoutflowgofgdialysategthanginflow
- Weightgloss
about:blank 1/10
, 12/7/23,g6:55gA TargetedgMedicalgSurgicalgAssessmentsgRenalgandgUrinarygAssessm
M ent
- Cloudygdialysategeffluent
- Reportgofgpaingduringginflow
- Cloudygdialysategeffluent
Cloudygorgopaquegdrainagegisgangearlygmanifestationgofgperitonitis.gThegnursegshouldgnotif
ygtheg providergimmediatelygbecauseginfectiongcangbegaglife-threateninggcomplication.
Agnursegisgperforminggangadmissiongassessmentgongagclientgwhoghasgseveregchronicgki
dneyg diseaseg(CKD).gWhichgofgthegfollowinggfindingsgshouldgthegnursegexpectgforgthis
gclient?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia
g Tachypn
ea
ThegnursegshouldgexpectgthegclientgwhoghasgseveregCKDgtoghavegtachypneagduegtogmetab
olicg acidosis
Agnursegisgplanninggcaregforgagclientgwhoghasgacutegglomerulonephritis.gThegnursegshould
gplangtog providegwhichgofgthegfollowingginterventions?
- weighgthegclientgdaily.
- Encouragegthegclientgtogdrinkg2gtog3gLgofgfluidgpergday
- Instructgthegclientgtogambulategeveryg2ghr.
- Obtaingthegclient'sgserumgbloodggluc
oseg Weighgthegclientgdaily
Agnursegisgcaringgforgaghospitalizedgclientgwhogreceivedghemodialysisg1ghrgago.gWhengev
aluatingg thegclient'sgstatusgaftergdialysis,gwhichgofgthegfollowingginformationgshouldgthegn
ursegassessgforg first?
- Serumgpotassiumglevel
- Bodygweight
- Serumgcreatinineglevel
- Vitalgsign
sg Vitalgsig
ns
WhengusinggABCsgapproachgtogclientgcare,gthegnursegshouldgdeterminegthatgthegprioritygin
fogtog assesgisgthegclient'sgV/S
Agnursegisgcaringgforgagclientgwhoghasgchronicgkidneygfailuregandgthegfollowingglabgresult
s:gBUNg 196gmg/dL,gsodiumg152gmEq/L,gandgpotassiumg7.3gmEq/L.gWhichgofgthegfollow
ingginterventionsg shouldgthegnursegimplement?
- InitiategangIVginfusiongofg0.9%gsodiumgchloride
- Givegoralgspironolactone
- Infusegreg.ginsulingingdextroseg10g%gingwater
- Administergfurosemide
Infusegregularginsulingingdextroseg10%gingwater.
Thegclientgwhoghasgelevatedgpotassiumglevelgshouldgreceivegreg.ginsulingw/gdextroseg10%g
ingwaterg bygcontinuousgIVginfusiongtogfacilitategmovinggpotassiumgoutgofgthegextracellular
gfluidgintog intracellulargfluid.
Thisgisgagpreview
about:blank 2/10
