Quiz on Renal System - Physiological Adaptation

Adult Health #33:

The client has been diagnosed with polycystic kidney disease. The nurse should assess the client for which manifestation that is most common for this disorder?

• 1. 1. Headache

• 2. 2. Hypotension

• 3. 3. Flank pain and hematuria

• 4. 4. Complaints of low pelvic pain

Adult Health #36:

After undergoing a percutaneous renal biopsy, which statement by the client indicates a need to reinforce the instructions?

• 1. 1. "A fever is normal after this procedure."

• 2. 2. "I should not workout at the gym for about two weeks."

• 3. 3. "I need to avoid any strenuous lifting for about two weeks."

• 4. 4. "I will call the primary healthcare provider if my urine becomes bloody."

Adult Health #46:

The home care nurse is assessing a client who began using peritoneal dialysis one week ago. The nurse should suspect the onset of peritonitis if which finding is noted on assessment?

• 1. 1. Anorexia

• 2. 2. Cloudy dialysate output

• 3. 3. Mild abdominal discomfort

• 4. 4. Oral temperature of 99°F

Adult Health #59:

A hospitalized client with chronic kidney disease has returned to the nursing unit after a hemodialysis treatment. The nurse should check pre dialysis and pulse dialysis documentation of which parameters to determine the effectiveness of the procedure?

• 1. 1. Blood pressure and weight

• 2. 2. Weight and blood urea nitrogen

• 3. 3. Potassium level and creatinine levels

• 4. 4. Blood urea nitrogen and creatinine levels

Drill 1 #14:

The nurse is caring for a client receiving continuous renal replacement therapy (CRRT) for acute kidney injury of prerenal origin. Which of the following findings indicates that the CRRT is having the intended effect?

• A. Serum concentrations of urea are reduced

• B. Urine output is increased

• C. Neurological status is improved

• D. Blood pressure is increased

Drill 2 #3:

A nurse is counseling a client on hemodialysis who has chronic constipation about ways to promote normal bowel function. What should be included in client teaching?

• A. "Glycerin suppositories are safe and can be used on a regular basis."

• B. "Magnesium hydroxide can be used for occasional relief from constipation."

• C. "Use bulk-forming fiber powder to increase regularity."

• D. "Increase your fluid intake to promote softer stools."

Drill 2 #14:

The nurse is admitting a client with a history of end-stage renal disease who was found unresponsive at home. The client has a history of chronic hemodialysis. The EKG is displaying bradycardia and peaked t-waves. Which of the following immediate interventions should be anticipated?

• A. 50% dextrose and regular insulin administered intravenously

• B. Insertion of central venous line

• C. Oral administration of kayexalate

• D. Initiation of a hemodialysis treatment

Drill 3 #9:

The nurse is caring for a client admitted with suspected urosepsis who has tachycardia and hypotension. The client had a central venous catheter placed for fluid resuscitation and monitoring of treatment effectiveness. What assessment data indicate that the treatment was effective?

• A. Decreased central venous pressure (CVP), increased heart rate (HR), and elevated mean arterial pressure (MAP)

• B. Elevated central venous pressure (CVP), decreased heart rate (HR), and elevated mean arterial pressure (MAP)

• C. Elevated central venous pressure (CVP), decreased heart rate (HR), and normal mean arterial pressure (MAP)

• D. Decreased central venous pressure (CVP), decreased heart rate (HR), and decreased mean arterial pressure (MAP)

Drill 4 #5:

The nurse has received report on a group of assigned clients who are receiving prescribed peritoneal dialysis. Which client should the nurse see first?

• A. The client who is scheduled for peritoneal dialysis in 1 hour and has a serum potassium level of 5-5 mEq/L

• B. The client who is receiving continuous ambulatory peritoneal dialysis (CAPD) who has become restless and has a respiratory rate of 36

• C. The client who had a peritoneal dialysis catheter placed 1 day ago and is reporting pink-tinged dialysate outflow

• D. The client who is reporting redness, warmth, and purulent drainage at the peritoneal dialysis catheter site

Drill 4 #14:

The nurse is caring for a client who is receiving treatment for neurogenic shock. The client's mean arterial pressure (MAP) has fallen to 55 mm Hg. When assessing the impact on the client's kidney function, which data would indicate potential kidney injury?

• A. Glomerular filtration rate of 90

• B. Blood Urea Nitrogen 10

• C. Urine output of 0.6 ml/kg/hr

• D. Creatinine 1.9