ATI Renal Urinary Flashcards
A nurse is caring for a client who is undergoing extracorporeal shockwave lithotripsy (ESWL) whcih of the following findings should the nurse report to the provider? an arrhythmia on the ECG, 300ml of pink-tinged urine, bruising on the affected flank area, gravel fragments in the urine
an arrhythmia on the ECG
A nurse is caring for a client whi is receiving peritoneal dialysis. Which of the following is a complication of this procedure? constipation, metabolic acidosis, hypoglycemia, peritonitis
peritonitis
A nurse is providing education to a client who has chronic renal failure. Which of the following should the nurse tell the client to increase in her diet? calcium, phosphorous, potassium, sodium
calcium
A nurse is caring for a client who is receiving hemodialysis via the left arteriovenous fistula. Which of the following statements made by the nurse is appropriate to include while teaching the client about self-care? chekc the site hourly for patency, apply lotion to your arms, avoid tight clothing around your arms, sleep on left side
avoid tight clothing around your arms
What is indicitive of a UTI involving the kidneys in an urinalysis? bacteria, WBC, casts, ketones
casts
a client with a history of cystitis, which indicates further teaching? I try to empty my bladder every 2-3h, i drink 2-3 quarts of fluid a day, i prefer to take baths instead of showers, i use oral conraceptives for birth control
i prefer to take baths instead of showers
you’re taking a 24 urine collection and the client disccards a specimen, what do you do
discard the previously collected urine and start the collection again
client is about to undergo a renal biopsy, post care instructions:
maintain bed rest for 4-12h following the procedure
findings of a client who is experiencing kidney rejection:
sudden weight gain, increased bp
client recieving continuous ambulatory peritoneal dialysis. which should nurse report? WBC 6,000, K+ 3.0, frothy pale yellow drainage, abdominal fullness
K+ level of 3.0
Nurse is assessing a client in oliguric-anuric stage of acute renal failure. resp 28, nausea, dull headache, palpitations, and malaise: following action
check latest electrolyte values
Patient is experiencing decreased output, distended abdomen, and pain while receiving PD, what do you do?
change the client’s position
client who is having chronic renal failure should: limit fluid intake, eat diet high in potassium, eat a diet high in phosphorus, or eat a diet high in protein?
limit fluid intake
home care for a client with acute pylenoephritis
complete antibiotic therapy, monitor I&O, encourage fluids
