Questions and Answers
A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. Which of the following adverse effects should the nurse monitor for and report to the provider?
A nurse is providing education regarding cyclosporine for a client who had a kidney transplant 2 days ago. What should the nurse tell the client?
You will need to continue taking this medication to protect your new kidneys.
A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis (PD) treatment. What finding should the nurse report to the provider?
Cloudy dialysate effluent
A nurse is reviewing the medical history of a client who has end-stage kidney disease. What factor in the client's history is a contraindication for receiving hemodialysis?
Signup and view all the answers
A nurse is caring for a client who has chronic kidney failure and the following laboratory results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. What intervention should the nurse implement?
Signup and view all the answers
A nurse is obtaining a urine specimen for culture and sensitivity from a client who has manifestations of a urinary tract infection. What should the nurse do?
Signup and view all the answers
A nurse is providing instructions for reducing the dietary intake of potassium for a client who has chronic kidney disease. What food selection indicates an understanding of the teaching?
Signup and view all the answers
A nurse is providing discharge teaching to a client who has chronic kidney disease (CKD). What statement by the client indicates an understanding of the teaching?
Signup and view all the answers
A nurse is teaching a client who has urge urinary incontinence about bladder retraining. What instruction should the nurse include?
Signup and view all the answers
A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. What instruction should the nurse include in the teaching?
Signup and view all the answers
A nurse in an emergency department is caring for a client who reports costovertebral angle tenderness, nausea, and vomiting. What laboratory value should the nurse report to the provider?
Signup and view all the answers
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. What should the nurse do upon detecting an output obstruction?
Signup and view all the answers
A nurse is reviewing the laboratory report of a client who has acute kidney injury (AKI). Which of the following findings should the nurse expect?
Signup and view all the answers
A nurse is caring for a client who is scheduled for an intravenous urography. What is the nurse's priority?
Signup and view all the answers
A nurse is planning care for a group of clients. Which client should the nurse plan to monitor for signs of nephrotoxicity?
Signup and view all the answers
A nurse is planning care for a client who is postoperative following a nephrectomy. What assessment is the nurse's priority?
Signup and view all the answers
A nurse is reviewing the medical records of four clients. Which disorder is a risk factor for chronic pyelonephritis?
Signup and view all the answers
A nurse is performing an admission assessment of a client who has acute glomerulonephritis. What finding should the nurse expect?
Signup and view all the answers
A nurse is performing an admission assessment for a client who has severe chronic kidney disease (CKD). What finding should the nurse expect?
Signup and view all the answers
A nurse is caring for a client immediately following a kidney transplant. What finding indicates a possible delay in functioning of the transplanted kidney?
Signup and view all the answers
A nurse is planning care for a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat urolithiasis. What action should the nurse plan to take?
Signup and view all the answers
A nurse is preparing to assess a client who received hemodialysis 1 hr ago. What assessment should the nurse perform first?
Signup and view all the answers
A nurse is providing teaching to a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. What client statement indicates an understanding of the teaching?
Signup and view all the answers
A nurse is caring for a client who has acute kidney injury (AKI). What serum laboratory finding should the nurse report to the provider?
Signup and view all the answers
A nurse is planning for a client who has acute glomerulonephritis. What intervention should the nurse plan to provide?
Signup and view all the answers
A nurse in a women's health clinic is caring for a client who reports urinary urgency and dysuria. What additional finding should the nurse identify as an indication of a urinary tract infection (UTI)?
Signup and view all the answers
A nurse is providing teaching to a client who has chronic kidney disease (CKD). What client statement indicates an understanding of the teaching?
Signup and view all the answers
A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the treatment of calcium phosphate kidney stones. What action should the nurse take?
Signup and view all the answers
A nurse is monitoring a client following hemodialysis. What factor places the client at risk for seizures?
Signup and view all the answers
A nurse is caring for a postoperative client following arteriovenous (AV) fistula creation in the left arm. What action should the nurse take?
Signup and view all the answers
Study Notes
Nephrotic Syndrome and Prednisone Use
- Monitor for sore throat as a potential adverse effect of prednisone.
Cyclosporine Post-Kidney Transplant
- Patient must continue cyclosporine to protect kidney function after transplant.
Chronic Kidney Disease and Peritoneal Dialysis
- Cloudy dialysate effluent indicates a potential problem requiring provider notification.
Contraindications for Hemodialysis
- History of hemophilia is a contraindication for hemodialysis treatment.
Chronic Kidney Failure Lab Values
- Elevated BUN (196 mg/dL), high sodium (152 mEq/L), and potassium (7.3 mEq/L) necessitate infusion of regular insulin and dextrose.
Urine Specimen Collection
- Initiate urine flow before collecting specimen to ensure accuracy for culture and sensitivity.
Dietary Management in Chronic Kidney Disease
- Decreasing potassium intake suggested; one large raw apple is a low-potassium choice.
Discharge Teaching in Chronic Kidney Disease
- Emphasis on reducing phosphorus-rich foods for better health outcomes.
Bladder Retraining Techniques
- Advise clients to extend urination intervals by 15 minutes per day to regain bladder control.
Managing Acute Pyelonephritis
- Recommend avoiding NSAIDs for pain management due to potential exacerbation of renal issues.
Emergency Signs in Kidney Disorders
- Report elevated WBC count (15,000/mm3) in clients with costovertebral angle tenderness.
Continuous Bladder Irrigation Post-Procedure
- First check irrigation tubing for kinks when output obstruction is detected.
Expected Findings in Acute Kidney Injury
- Anticipate elevated BUN (30 mg/dL), low urine output (40 mL in 3 hours), and reduced hematocrit (30%).
Pre-Procedure Education for Intravenous Urography
- Confirm any allergies to iodine or shellfish before administering contrast.
Nephrotoxicity Risk Factors
- Monitor clients receiving gentamicin as it poses a risk for nephrotoxicity.
Postoperative Care Following Nephrectomy
- Prioritize monitoring blood pressure in the postoperative care of nephrectomy patients.
Risk Factor for Chronic Pyelonephritis
- Diabetes mellitus is identified as a significant risk factor for chronic kidney infection recurrence.
Assessment Findings in Acute Glomerulonephritis
- Expect to find dark-colored urine upon assessment of acute glomerulonephritis clients.
Expected Symptoms in Severe Chronic Kidney Disease
- Tachypnea noted during assessments for clients with advanced chronic kidney disease.
Post-Kidney Transplant Monitoring
- Urine output of 30 mL over 2 hours may indicate delayed functioning of the transplanted kidney.
Pre-ESWL Care Planning
- Apply electrodes for cardiac monitoring during extracorporeal shock wave lithotripsy for urolithiasis.
Post-Hemodialysis Assessment
- Assess vital signs first after hemodialysis to determine overall patient stability.
Catheterization in Continent Internal Ileal Reservoir
- Patients must catheterize through the stoma to manage urine drainage effectively.
Reporting Laboratory Findings in Acute Kidney Injury
- Report a creatinine level of 4.0 mg/dL for urgent clinical intervention.
Daily Monitoring in Acute Glomerulonephritis
- Implement daily weight monitoring to assess fluid retention and kidney function in clients.
Indicators of Urinary Tract Infection
- Pyuria is a key indicator to confirm urinary tract infections in symptomatic clients.
Daily Weight Management in Chronic Kidney Disease
- Clients should weigh themselves each morning to monitor potential fluid retention.
Post-ESWL Care
- Direct client care to strain all urine to monitor for stone passage after lithotripsy.
Seizure Risk Post-Hemodialysis
- Rapid fluid decrease poses a risk for seizures in clients following hemodialysis procedures.
Monitoring Care for AV Fistula Post-Creation
- Auscultate for bruits every 4 hours in clients with a created AV fistula to ensure patency.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers various aspects of chronic kidney disease, including medication use, lab values, and dietary management. It also covers contraindications for hemodialysis and urine specimen collection.