Question 1

Which of the following signs and symptoms may indicate that the condition of a client who has chronic glomerulonephritis is deteriorating?

Accepted Answer

A) anasarca 
B) ataxia 
C) polyuria 
D) uremic frost 
A) anasarca 
B) ataxia 
C) polyuria 
D) uremic frost

Question 2

The client with chronic renal failure is scheduled for hemodialysis this morning and is due to receive a once-daily medication.Nursing intervention would include administering the medication:

Accepted Answer

A) just prior to dialysis 
B) during dialysis 
C) on return from dialysis 
D) the day after dialysis 
A) just prior to dialysis 
B) during dialysis 
C) on return from dialysis 
D) the day after dialysis

Question 3

Which of these signs may indicate development of infection in a postoperative kidney transplant client who is on immunosuppressive therapy?

Accepted Answer

A) cloudy urine 
B) development of rales 
C) fever of 103 degrees Fahrenheit or higher 
D) severe,excruciating pain in the wound site 
A) cloudy urine 
B) development of rales 
C) fever of 103 degrees Fahrenheit or higher 
D) severe,excruciating pain in the wound site

Question 4

What appearance should the returned dialysate from a client's manual peritoneal dialysis session have?

Accepted Answer

A) clear and white 
B) clear and light yellow 
C) cloudy and white 
D) cloudy and dark yellow 
A) clear and white 
B) clear and light yellow 
C) cloudy and white 
D) cloudy and dark yellow

Question 5

Which of these medications is considered to be nephrotoxic?

Accepted Answer

A) ciprofloxacin (Cipro) 
B) ibuprofen (Advil) 
C) sulfisoxazole (Gantrisin) 
D) furosemide (Lasix) 
A) ciprofloxacin (Cipro) 
B) ibuprofen (Advil) 
C) sulfisoxazole (Gantrisin) 
D) furosemide (Lasix)

Question 6

The nurse should monitor a postoperative kidney transplant client for which sign of organ rejection?

Accepted Answer

A) polyuria 
B) generalized edema 
C) flank pain 
D) weight loss 
A) polyuria 
B) generalized edema 
C) flank pain 
D) weight loss

Question 7

A nurse is palpating the hemodialysis access site and does not feel a "thrill." Which of these steps should the nurse take next?

Accepted Answer

A) Administer a heparin flush to the cannula. 
B) Place an absorbent dressing over the site. 
C) Check the site with a Doppler stethoscope to confirm finding. 
D) Notify the health care provider. 
A) Administer a heparin flush to the cannula. 
B) Place an absorbent dressing over the site. 
C) Check the site with a Doppler stethoscope to confirm finding. 
D) Notify the health care provider.

Question 8

Which sign signals the onset of end-stage renal disease (ESRD)in a client who has chronic renal failure?

Accepted Answer

A) polyuria 
B) nocturia 
C) severe fluid and electrolyte imbalances 
D) blood urea nitrogen (BUN)of at least 20 mg/dL 
A) polyuria 
B) nocturia 
C) severe fluid and electrolyte imbalances 
D) blood urea nitrogen (BUN)of at least 20 mg/dL

Exam 39: Urinary System

Which of the following signs and symptoms may indicate that the condition of a client who has chronic glomerulonephritis is deteriorating?

The client with chronic renal failure is scheduled for hemodialysis this morning and is due to receive a once-daily medication.Nursing intervention would include administering the medication:

Which of these signs may indicate development of infection in a postoperative kidney transplant client who is on immunosuppressive therapy?

What appearance should the returned dialysate from a client's manual peritoneal dialysis session have?

Which of these medications is considered to be nephrotoxic?

The nurse should monitor a postoperative kidney transplant client for which sign of organ rejection?

A nurse is palpating the hemodialysis access site and does not feel a "thrill." Which of these steps should the nurse take next?

Which sign signals the onset of end-stage renal disease (ESRD)in a client who has chronic renal failure?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

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Life Span Development

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Basic Nutrition

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Standard Precautions and Isolation

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Fluid, Electrolyte, and Acid-Base Balance

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