Exam 67: Care of Patients with Kidney Disorders

After teaching a client with hypertension secondary to renal disease,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus.Which prescription should the nurse consult the provider about before implementation?

A nurse cares for a client who has pyelonephritis.The client states,"I am embarrassed to talk about my symptoms." How should the nurse respond?

A nurse cares for a client with autosomal dominant polycystic kidney disease (ADPKD).The client asks,"Will my children develop this disease?" How should the nurse respond?

A nurse assesses a client with polycystic kidney disease (PKD).Which assessment finding should alert the nurse to immediately contact the health care provider?

A nurse provides health screening for a community health center with a large population of African-American clients.Which priority assessment should the nurse include when working with this population?

A nurse assesses a client who is recovering from a nephrostomy.Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)

After teaching a client with early polycystic kidney disease (PKD)about nutritional therapy,the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the teaching?

A nurse evaluates a client with acute glomerulonephritis (GN).Which manifestation should the nurse recognize as a positive response to the prescribed treatment?

A nurse teaches a client who is recovering from a nephrectomy secondary to kidney trauma.Which statement should the nurse include in this client's teaching?

A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the third episode of acute pyelonephritis in the past year.The client asks,"What can I do to help prevent these infections?" How should the nurse respond?

After teaching a client with nephrotic syndrome and a normal glomerular filtration,the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the nutritional therapy for this condition?

A nurse teaches a client with polycystic kidney disease (PKD).Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)

After teaching a client with renal cancer who is prescribed temsirolimus (Torisel),the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the teaching?

A nurse cares for a client who is recovering after a nephrostomy tube was placed 6 hours ago.The nurse notes drainage in the tube has decreased from 40 mL/hr to 12 mL over the last hour.Which action should the nurse take?

A nurse assesses a client who has a family history of polycystic kidney disease (PKD).For which clinical manifestations should the nurse assess? (Select all that apply.)

An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours.At what rate (mL/hr)should the nurse set the intravenous pump to infuse the fluids? (Record your answer using a whole number.)____ mL/hr

A nurse reviews laboratory results for a client with glomerulonephritis.The client's glomerular filtration rate (GFR)is 40 mL/min as measured by a 24-hour creatinine clearance.How should the nurse interpret this finding? (Select all that apply.)

A nurse assesses a client with nephrotic syndrome.For which clinical manifestations should the nurse assess? (Select all that apply.)

A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma.The nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour.Which action should the nurse take?