12/7/23,h6:55hAM TargetedhMedicalhSurgicalhAssessmentshRenalhandhUrinaryhAssessmen
t
Ahnursehishcaringh forhahclienthwhohhashcontinuoushbladderhirrigationh followinghahtransurethralh
resectionhofhthehprostate.hUponhdetectinghanhoutputhobstruction,hwhichhofhthehfollowinghactions
h shouldhthehnursehtakehfirst?
-Irrigateh theh catheterh w/h normalh saline
-Notifyh theh provider
-Checkh theh irrigationh tubingh forh kinks
-Provideh theh PRNh painh medication
-Checkh theh irrigationh tubingh forh kinks
Thehfirsthactionhthehnursehshouldhtakehishtohcheckhthehirrigationhtubingh forhkinkingh orhclotshasht
heseh canhpreventhoutflowhofhfluids
Ahnursehishprovidingh instructionshregardinghreducedhdietaryhintakehofhpotassiumh forhahclienthwh
oh hashchronichkidneyhdisease.hWhichhofhthehfollowingh foodhselectionshishappropriatehforhthehn
ursehtoh recommendhtohthehclient?
- 1h cuph cubedh cantaloupe
-1h cuph boiledh spinach
- 1h bakedh potato
-1hlargehapple
- 1hlargehapple
Ofh theh listedh foods,h 1h largeh appleh ish theh lowesth inh potassium,h containingh 239h mgh perh serv
ingh Ahnursehishcaringh forhahclienthwhohhashacutehkidneyhinjury.hWhichhofhthehfollowingh lab
oratoryh findingshshouldhthehnursehreporthtohthehprovider?
- serumh potassiumh 5.0h mEq/L
- Serumh calciumh 9.0h mg/dL
- Serumh creatinineh 4.0h mg/dL
- Serumh amylaseh 84h IU/L
- Serumh creatinineh 4.0h mg/dL
Normalh rangeh ish 0.6h -h 1.3h mg/dL
Ahnursehishcaringh forhahclienthimmediatelyhfollowinghahkidneyhtransplant.hThehnursehshouldh i
dentifyhwhichhofhthehfollowinghclienth findingshashahpossiblehindicationhofhahdelayhinhfunctioni
ngh ofhthehtransplantedhkidney?
- Bloodhpressureh 110/58h mmh Hg
- Incisionalh tenderness
- Pinkh andh bloodyh urine
- Urineh outputh 30h mL/2h hr
- Urineh outputh 30h mLh/h 2hr
Ahminimumh urinehoutputhofh30hmL/hrhishexpectedh followinghahrenalhtransplant.hThehnursehshou
ldh monitorhforhadequatehoutputhorhahdecreasehinhthehhourlyhoutput.
Ahnursehishassessinghahclienthwhohhashchronichkidneyhdiseasehandhhashcompletedhherhthirdh peri
tonialhdialysish(PD)htreatment.hWhichhofhthehfollowingh findingshshouldhthehnursehreporthtohtheh
provider?
- Greaterh outflowh ofh dialysateh thanh inflow
- Weighthloss
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, 12/7/23,h6:55hAM TargetedhMedicalhSurgicalhAssessmentshRenalhandhUrinaryhAssessmen
t
- Cloudyh dialysateh effluent
- Reporth ofh painh duringh inflow
- Cloudyh dialysateh effluent
Cloudyhorhopaquehdrainagehishanhearlyh manifestationhofhperitonitis.hThehnursehshouldhnotifyhthe
h providerhimmediatelyhbecausehinfectionhcanhbehahlife-threateninghcomplication.
Ahnursehishperforminghanhadmissionhassessmenthonhahclienthwhohhashseverehchronichkidney
h diseaseh(CKD).hWhichhofhtheh followingh findingshshouldhthehnursehexpecthforhthishclient?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia
h Tachypn
ea
ThehnursehshouldhexpecththehclienthwhohhashseverehCKDhtohhavehtachypneahduehtohmetabolich
acidosis
Ahnursehishplanninghcarehforhahclienthwhohhashacutehglomerulonephritis.hThehnursehshouldhplan
htoh providehwhichhofhthehfollowingh interventions?
- weighh theh clienth daily.
- Encourageh theh clienth toh drinkh 2h toh 3h Lhofh fluidh perh day
- Instructh theh clienth toh ambulateh everyh 2h hr.
- Obtainhthehclient'shserumhbloodhglucos
eh Weighhthehclienthdaily
Ahnursehishcaringh forhahhospitalizedhclienthwhohreceivedhhemodialysish1hhrhago.hWhenhevaluati
ngh thehclient'shstatushafterhdialysis,hwhichhofhthehfollowinghinformationhshouldhthehnursehasses
shforh first?
- Serumh potassiumh level
- Bodyh weight
- Serumh creatinineh level
- Vitalhsign
sh Vitalhsig
ns
WhenhusinghABCshapproachhtohclienthcare,hthehnursehshouldhdeterminehthaththehpriorityh infohto
h asseshishthehclient'shV/S
Ahnursehishcaringhforhahclienthwhohhashchronichkidneyhfailurehandhtheh followingh labhresults:hB
UNh 196hmg/dL,hsodiumh152h mEq/L,handhpotassiumh7.3h mEq/L.hWhichhofhthehfollowingh inter
ventionsh shouldhthehnursehimplement?
- Initiateh anh IVh infusionh ofh 0.9%h sodiumh chloride
- Giveh oralh spironolactone
- Infuseh reg.h insulinh inh dextroseh 10h %h inh water
- Administerh furosemide
Infuseh regularh insulinh inh dextroseh 10%h inh water.
Thehclienthwhohhashelevatedhpotassiumh levelhshouldhreceivehreg.hinsulinhw/hdextroseh10%hinhw
aterh byhcontinuoushIVhinfusionhtohfacilitatehmovinghpotassiumhouthofhthehextracellularhfluidhint
oh intracellularhfluid.
This is a preview
h h h
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t
Ahnursehishcaringh forhahclienthwhohhashcontinuoushbladderhirrigationh followinghahtransurethralh
resectionhofhthehprostate.hUponhdetectinghanhoutputhobstruction,hwhichhofhthehfollowinghactions
h shouldhthehnursehtakehfirst?
-Irrigateh theh catheterh w/h normalh saline
-Notifyh theh provider
-Checkh theh irrigationh tubingh forh kinks
-Provideh theh PRNh painh medication
-Checkh theh irrigationh tubingh forh kinks
Thehfirsthactionhthehnursehshouldhtakehishtohcheckhthehirrigationhtubingh forhkinkingh orhclotshasht
heseh canhpreventhoutflowhofhfluids
Ahnursehishprovidingh instructionshregardinghreducedhdietaryhintakehofhpotassiumh forhahclienthwh
oh hashchronichkidneyhdisease.hWhichhofhthehfollowingh foodhselectionshishappropriatehforhthehn
ursehtoh recommendhtohthehclient?
- 1h cuph cubedh cantaloupe
-1h cuph boiledh spinach
- 1h bakedh potato
-1hlargehapple
- 1hlargehapple
Ofh theh listedh foods,h 1h largeh appleh ish theh lowesth inh potassium,h containingh 239h mgh perh serv
ingh Ahnursehishcaringh forhahclienthwhohhashacutehkidneyhinjury.hWhichhofhthehfollowingh lab
oratoryh findingshshouldhthehnursehreporthtohthehprovider?
- serumh potassiumh 5.0h mEq/L
- Serumh calciumh 9.0h mg/dL
- Serumh creatinineh 4.0h mg/dL
- Serumh amylaseh 84h IU/L
- Serumh creatinineh 4.0h mg/dL
Normalh rangeh ish 0.6h -h 1.3h mg/dL
Ahnursehishcaringh forhahclienthimmediatelyhfollowinghahkidneyhtransplant.hThehnursehshouldh i
dentifyhwhichhofhthehfollowinghclienth findingshashahpossiblehindicationhofhahdelayhinhfunctioni
ngh ofhthehtransplantedhkidney?
- Bloodhpressureh 110/58h mmh Hg
- Incisionalh tenderness
- Pinkh andh bloodyh urine
- Urineh outputh 30h mL/2h hr
- Urineh outputh 30h mLh/h 2hr
Ahminimumh urinehoutputhofh30hmL/hrhishexpectedh followinghahrenalhtransplant.hThehnursehshou
ldh monitorhforhadequatehoutputhorhahdecreasehinhthehhourlyhoutput.
Ahnursehishassessinghahclienthwhohhashchronichkidneyhdiseasehandhhashcompletedhherhthirdh peri
tonialhdialysish(PD)htreatment.hWhichhofhthehfollowingh findingshshouldhthehnursehreporthtohtheh
provider?
- Greaterh outflowh ofh dialysateh thanh inflow
- Weighthloss
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, 12/7/23,h6:55hAM TargetedhMedicalhSurgicalhAssessmentshRenalhandhUrinaryhAssessmen
t
- Cloudyh dialysateh effluent
- Reporth ofh painh duringh inflow
- Cloudyh dialysateh effluent
Cloudyhorhopaquehdrainagehishanhearlyh manifestationhofhperitonitis.hThehnursehshouldhnotifyhthe
h providerhimmediatelyhbecausehinfectionhcanhbehahlife-threateninghcomplication.
Ahnursehishperforminghanhadmissionhassessmenthonhahclienthwhohhashseverehchronichkidney
h diseaseh(CKD).hWhichhofhtheh followingh findingshshouldhthehnursehexpecthforhthishclient?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia
h Tachypn
ea
ThehnursehshouldhexpecththehclienthwhohhashseverehCKDhtohhavehtachypneahduehtohmetabolich
acidosis
Ahnursehishplanninghcarehforhahclienthwhohhashacutehglomerulonephritis.hThehnursehshouldhplan
htoh providehwhichhofhthehfollowingh interventions?
- weighh theh clienth daily.
- Encourageh theh clienth toh drinkh 2h toh 3h Lhofh fluidh perh day
- Instructh theh clienth toh ambulateh everyh 2h hr.
- Obtainhthehclient'shserumhbloodhglucos
eh Weighhthehclienthdaily
Ahnursehishcaringh forhahhospitalizedhclienthwhohreceivedhhemodialysish1hhrhago.hWhenhevaluati
ngh thehclient'shstatushafterhdialysis,hwhichhofhthehfollowinghinformationhshouldhthehnursehasses
shforh first?
- Serumh potassiumh level
- Bodyh weight
- Serumh creatinineh level
- Vitalhsign
sh Vitalhsig
ns
WhenhusinghABCshapproachhtohclienthcare,hthehnursehshouldhdeterminehthaththehpriorityh infohto
h asseshishthehclient'shV/S
Ahnursehishcaringhforhahclienthwhohhashchronichkidneyhfailurehandhtheh followingh labhresults:hB
UNh 196hmg/dL,hsodiumh152h mEq/L,handhpotassiumh7.3h mEq/L.hWhichhofhthehfollowingh inter
ventionsh shouldhthehnursehimplement?
- Initiateh anh IVh infusionh ofh 0.9%h sodiumh chloride
- Giveh oralh spironolactone
- Infuseh reg.h insulinh inh dextroseh 10h %h inh water
- Administerh furosemide
Infuseh regularh insulinh inh dextroseh 10%h inh water.
Thehclienthwhohhashelevatedhpotassiumh levelhshouldhreceivehreg.hinsulinhw/hdextroseh10%hinhw
aterh byhcontinuoushIVhinfusionhtohfacilitatehmovinghpotassiumhouthofhthehextracellularhfluidhint
oh intracellularhfluid.
This is a preview
h h h
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