NCLEX - RENAL Day2

A nurse is preparing an educational presentation on herbal supplements for the local community center. The nurse anticipates discussion of saw palmetto with what type of clients?

• Clients diagnosed with dyslipidemia
• Clients experiencing major depression
• Clients with benign prostatic hyperplasia
• Perimenopausal clients experiencing hot flashes
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The nurse is preparing to administer furosemide to a client who is experiencing heart palpitations. Which of the following actions would be a priority for the nurse to take?

• Calculate total urinary output
• Hold the furosemide
• Notify the health care provider
• Obtain a 12-lead ECG
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A nurse is reviewing the laboratory values for a 3-year-old client with nephrotic syndrome. The nurse interprets the results to most clearly reflect which physiologic process related to nephrotic syndrome?

• Glomerular injury
• Hepatic impairment
• Inherited hypercholesterolemia
• Malnutrition
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The nurse has taught the parents of a 6-year-old client with nephrotic syndrome. Which of the following statements by the parents would require follow-up?

• I will encourage my child to play with other children
• I will monitor my child's urine for protein every day
• I will provide a healthy diet without added salt for my child
• I will report swelling or rapid weight gain to the health care provider
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Which of the following observations by the charge nurse would require immediate follow-up?

• A nurse is using gentle pressure to flush a kidney pelvis catheter with 5 mL of fluid
• A nursing assistant hangs a urinary drainage bag on the wheelchair handle when transporting a client
• An indwelling urinary catheter is taped to the client's upper, inner thigh
• Total 24-hour oral fluid intake for a client with a urinary diversion device is 2800 mL
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The nurse assesses a client with benign prostatic hyperplasia. Which client statement requires further assessment?

• I have a burning sensation when I urinate
• I have been having some dribbling after I finish urinating
• I missed 3 days of finasteride while on a trip last week
• I was awakened 3 times last night by the need to urinate
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The nurse gathers history from a 58-year-old client with acute urinary retention. What questions help assess for benign prostatic hyperplasia?

• Do you feel the need to urinate again immediately after urinating?
• Do you have to strain to begin your stream of urine?
• How often do you engage in sexual intercourse?
• How often do you wake at night with the urge to urinate?
• Is your stream of urine weak or intermittent?

The nurse is caring for a 78-year-old client with a urinary tract infection (UTI). Which assessment finding would be most concerning and require immediate follow-up by the nurse?

• Confusion
• Presbyopia
• Temperature 100.2°F (37.8°C)
• White blood cell count 12,000/mm³
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The nurse is caring for a client with acute poststreptococcal glomerulonephritis. Which of the following findings would the nurse expect to observe? Select all that apply.

• orthostatic hypotension
• increased urine output
• elevated BUN level
• rust-colored urine
• weight gain

The nurse is evaluating the effectiveness of the medication regimen for a client with chronic kidney disease who is receiving sodium polystyrene sulfonate. It would indicate that the medication regimen has been effective if the client's most recent laboratory test results indicate

• an increase in the serum calcium level
• an increase in the serum creatinine level
• a decrease in the serum potassium level
• a decrease in the serum phosphate level
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