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Adult Health 1 - Renal/GU

Total questions: 6

Worksheet time: 3mins

Name
Class
Date
1.

A female adult was admitted with a gunshot to the abdomen is being transferred to the intensive care unit after exploratory laparotomy. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)?

a)

Blood urea nitrogen (BUN) level of 22 mg/dl

b)

Serum creatinine level of 1.2 mg/dl

c)

Serum urine output of 400 ml/24 hrs

d)

Bilirubin level of 0.2 mg/dl

2.

A client arrives at the emergency department with complaints of low abdominal pain and hematuria. The client is afebrile. The nurse next assesses the client to determine a history of which condition?

a)

Pyelonephritis

b)

Glomerulonephritis

c)

Renal cancer in the client's family

d)

Trauma to the bladder or abdomen

3.

The nurse is caring for a client with chronic pyelonephritis. Which assessment data supports the diagnosis of chronic pyelonephritis?

a)

The client has fever, chills, flank pain, and dysuria.

b)

The client complains of fatigue, headaches, and increased urination.

c)

The client had a group B beta-hemolytic strep infection last week.

d)

The client has an acute viral pneumonia infection.

4.

A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder?

a)

Dysuria and penile discharge

b)

Hematuria and urgency

c)

Dysuria and proteinuria

d)

Hematuria and pyuria

5.

A female patient with chronic renal failure (CRF) is receiving hemodialysis treatment. After hemodialysis, the nurse knows that the client is most likely to experience:

a)

Hematuria

b)

Weight loss

c)

Increased urine output

d)

Decreased blood pressure

6.

A client with acute kidney injury has a serum potassium level of 7.0 mEq/L (7.0 mmol/L). The nurse should plan which actions as a priority? Select all that apply.

a)

Place the client on a cardiac monitor.

b)

Notify the health care provider (HCP).

c)

Put the client on NPO (nothing by mouth) status except for ice chips.

d)

Review the client's medications to determine if any contain or retain potassium.