NURS 455 MED Surg Questions with answers |\ |\ |\ |\ |\ |\
A nurse is assessing a client who is 2 weeks postoperative
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following a kidney transplant. Which of the following
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manifestations should the nurse identify as possible organ |\ |\ |\ |\ |\ |\ |\ |\
rejection?
A. Temperature 36.1° C (97.0° F)
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B. Insomnia
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C. Oliguria
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D. Weight loss - CORRECT ANSWERS ✔✔C. Oliguria Feedback:
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The nurse should identify little to no urine output as possible
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manifestations of kidney rejection. |\ |\ |\
A nurse is teaching a client who has acute kidney injury about
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the oliguric phase. Which of the following information should the
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nurse include in the teaching? |\ |\ |\ |\
|\
A. Renal function is reestablished.
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|\ B. BUN and creatinine levels decrease.
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C. Urine output is less than 400 mL per 24 hr.
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D. The glomerular filtration rate (GFR) recovers. - CORRECT
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ANSWERS ✔✔C. Urine output is less than 400 mL per 24 hr. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Feedback: Inadequate urinary output is associated with the |\ |\ |\ |\ |\ |\ |\ |\
oliguric phase of acute kidney injury. The minimum amount of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urine needed to rid the body of metabolic waste products is 400
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, mL. Therefore, a client who is producing less than 400 mL of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
output in 24 hr is manifesting acute kidney injury.
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A nurse is preparing a client for a kidney biopsy. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following client conditions should the nurse identify as a
|\ |\ |\ |\ |\ |\ |\ |\ |\
contraindication for this diagnostic test? |\ |\ |\ |\
|\ A. Elevated creatinine level
|\ |\ |\
|\ B. Flank pain
|\ |\
|\ C. Urinary retention
|\ |\
D. Bleeding tendencies - CORRECT ANSWERS ✔✔D. Bleeding
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tendencies Feedback: One of the risks of a kidney biopsy is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bleeding from the biopsy site. Therefore, a history of bleeding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tendencies or coagulation disorders is a contraindication for a
|\ |\ |\ |\ |\ |\ |\ |\ |\
kidney biopsy. |\
A nurse is caring for a client who has polycystic kidney disease
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(PKD). Which of the following findings should the nurse expect?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Flank pain
|\ |\
B. Hypotension
|\
C. Confusion
|\
D. Urinary retention - CORRECT ANSWERS ✔✔A. Flank pain
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Feedback: Flank pain is a finding associated with PKD.
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A nurse is assessing a client who has chronic kidney disease for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fluid volume increase. Which of the following provides a reliable
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
measure of fluid retention? |\ |\ |\
A nurse is assessing a client who is 2 weeks postoperative
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following a kidney transplant. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\
manifestations should the nurse identify as possible organ |\ |\ |\ |\ |\ |\ |\ |\
rejection?
A. Temperature 36.1° C (97.0° F)
|\ |\ |\ |\ |\
B. Insomnia
|\
C. Oliguria
|\
D. Weight loss - CORRECT ANSWERS ✔✔C. Oliguria Feedback:
|\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse should identify little to no urine output as possible
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
manifestations of kidney rejection. |\ |\ |\
A nurse is teaching a client who has acute kidney injury about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the oliguric phase. Which of the following information should the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse include in the teaching? |\ |\ |\ |\
|\
A. Renal function is reestablished.
|\ |\ |\ |\
|\ B. BUN and creatinine levels decrease.
|\ |\ |\ |\ |\
C. Urine output is less than 400 mL per 24 hr.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. The glomerular filtration rate (GFR) recovers. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔C. Urine output is less than 400 mL per 24 hr. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Feedback: Inadequate urinary output is associated with the |\ |\ |\ |\ |\ |\ |\ |\
oliguric phase of acute kidney injury. The minimum amount of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urine needed to rid the body of metabolic waste products is 400
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, mL. Therefore, a client who is producing less than 400 mL of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
output in 24 hr is manifesting acute kidney injury.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is preparing a client for a kidney biopsy. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following client conditions should the nurse identify as a
|\ |\ |\ |\ |\ |\ |\ |\ |\
contraindication for this diagnostic test? |\ |\ |\ |\
|\ A. Elevated creatinine level
|\ |\ |\
|\ B. Flank pain
|\ |\
|\ C. Urinary retention
|\ |\
D. Bleeding tendencies - CORRECT ANSWERS ✔✔D. Bleeding
|\ |\ |\ |\ |\ |\ |\ |\
tendencies Feedback: One of the risks of a kidney biopsy is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bleeding from the biopsy site. Therefore, a history of bleeding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tendencies or coagulation disorders is a contraindication for a
|\ |\ |\ |\ |\ |\ |\ |\ |\
kidney biopsy. |\
A nurse is caring for a client who has polycystic kidney disease
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(PKD). Which of the following findings should the nurse expect?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Flank pain
|\ |\
B. Hypotension
|\
C. Confusion
|\
D. Urinary retention - CORRECT ANSWERS ✔✔A. Flank pain
|\ |\ |\ |\ |\ |\ |\ |\ |\
Feedback: Flank pain is a finding associated with PKD.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is assessing a client who has chronic kidney disease for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fluid volume increase. Which of the following provides a reliable
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
measure of fluid retention? |\ |\ |\
