Chapter 37

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The nurse is collecting data from a male patient who reports hematuria and pelvic pain. The patient's history indicates a 20-year history of smoking and long-term employment in a metal machinery factory. Which specific test should the nurse expect the HCP to order?

Complete blood count(CBC)

Bladder tumor-associated antigen(BTA) (correct)

Urinalysis for bladder infection

Urine culture for presence of bacteria

A female patient with a history of diabetes mellitus presents at the health-care provider‘s(HCP's) office with chills, a fever of 101.0 F vomiting, and flank pain. What order should the nurse anticipate?

Antipyretic

Blood glucose

Antiemetic

Clean-catch urinalysis (correct)

The nurse is providing postoperative care for a patient with a newly formed ileal conduit for a diagnosis of bladder cancer. Which collaborative team member should be included with care?

Dietitian

Clergy

Wound, ostomy, and continence(WOC) nurse (correct)

Social worker

The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Strain urinary output and observe for stones Signup and view all the answers

The nurse is preparing a patient for a cystectomy and the creation of a neobladder. What benefits will this provide?

Voiding occurs through the urethra Signup and view all the answers

The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

The patient who has an indwelling catheter for a urinary tract infection(UTI) Signup and view all the answers

The nurse is providing care for a patient who is diagnosed with urinary obstruction from a blockage of the urethra. An emergency surgery is scheduled. The nurse is most concerned with which finding?

Elevated creatinine level Signup and view all the answers

The nurse is providing support for a client who just finished a hemodialysis session. Which findings are most concerning?

Crushing chest pain Signup and view all the answers

The nurse is reinforcing teaching about the most serious side effect of peritoneal dialysis with a patient scheduled for the first treatment. Which side effect stated by the patient indicates correct understanding?

Peritonitis Signup and view all the answers

The nurse is providing care for a patient with glomerulonephritis. Which form of kidney injury should the nurse realize has occurred with this patient?

intrarenal Signup and view all the answers

A young adult patient reports flank pain and a decrease in urination. The nurse notices periorbital edema, and the urinalysis is very dark in color and contains protein. What question should the nurse ask?

Have you had a sore throat recently Signup and view all the answers

The nurse is providing care for a patient scheduled for surgery for the formation of an orthotopic bladder substitution. Which patient teaching is important for the nurse to review during the patient's recovery?

How to perform an intermittent catheterization Signup and view all the answers

Which patient is at the greatest risk for cancer of the kidney

A 50-year-ole male with a 20-year history of smoking who works in a chemical laboratory Signup and view all the answers

The nurse is collecting data on a patient admitted for symptoms of renal insufficiency. Which factor will cause the nurse to suspect prerenal injury

impaired blood flow to the kidneys Signup and view all the answers

The nurse is planning care for a patient diagnosed with chronic renal failure. The nurse notes that the patient's output is 620 mL for the last 24 hours. The patient has periorbital edema and crackles in all lung fields upon auscultation. Which intervention is most important for the nurse to implement during care of this patient?

Obtain daily weights Signup and view all the answers

The nurse is visiting a patient who performs peritoneal dialysis at home. The nurse is evaluating the patient's technique. Which finding requires additional teaching?

The patient use clean technique when instilling the dialysate Signup and view all the answers

The nurse is providing care for a patient who is scheduled for the formation of access for hemodialysis. Which important action does the nurse take with this patient？

Refrains from drawing blood or placing IV lines in the nondominant arm Signup and view all the answers

The nurse is reinforcing teaching provided to a patient with a history of calcium oxalate kidney stones. The nurse recognizes that teaching has been effective if the patient avoids which foods?

Cocoa Signup and view all the answers

The nurse is reinforcing teaching provided to a patient about caring for a new AV fistula in the left arm for dialysis. Which patient statements indicate correct understanding?(Select all that apply)

I should not sleep on my arm Signup and view all the answers

The nurse is preparing to reinforce teaching to a patient newly diagnosed with PKD. Which information does the nurse include?（Select all that apply）

Grape-like cysts will replace normal, functioning structures Signup and view all the answers

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of the findings are indicators of a UTI to the nurse? select all that apply.

Dysuria Signup and view all the answers

Which actions are essential for the nurse to take when providing care to a patient with a renal calculi? select all that apply.

strain all urine Signup and view all the answers

Which of these actions should the nurse include in a teaching plan to help prevent or slow progression of diabetic nephropathy? select all that apply.

control blood glucose Signup and view all the answers

While the nurse is caring for a patient, what is the priority action to prevent acute kidney injury?

check GFR and creatine prior to contrast media or nephrotoxic medications Signup and view all the answers