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WorksheetsChapter 62: Concepts of Care for Patients with Kidney Disorders
Total questions: 16
Worksheet time: 1hrs 20mins
A nurse assesses a client with polycystic kidney disease (PKD). Which assessment finding would alert the nurse to immediately
contact the primary health care provider?
Flank pain
Peiorbital edema
Bloody & cloudy urine
Enlarged abdomen
The nurse is caring for a client who has chronic pyelonephritis. What assessment finding would the nurse expect?
Fever
Flank pain
Hypertension
N/V
After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy, the nurse assesses the client’s
understanding. Which statement made by the client indicates a correct understanding of the teaching?
“I will take a laxative every night before going to bed.”
“I must increase my intake of dietary fiber and fluids.”
“I shall only use salt when I am cooking my own food.”
“I’ll eat white bread to minimize gastrointestinal gas.”
A nurse cares for a middle-age female client with diabetes mellitus who is being treated for the third episode of acute
pyelonephritis in the past year. The client asks, “What can I do to help prevent these infections?” How would the nurse respond?
“Test your urine daily for the presence of ketone bodies and proteins.”
“Use tampons rather than sanitary napkins during your menstrual period.”
“Drink more water and empty your bladder more frequently during the day.”
“Keep your hemoglobin A1C under 9% by keeping your blood sugar controlled.”
A nurse evaluates a client with acute glomerulonephritis (GN). Which assessment finding would the nurse recognize as a positive
response to the prescribed treatment?
The client lost 11 lb (5 kg) in the past 10 days.
The client’s urine specific gravity is 1.048.
No blood is observed in the client’s urine.
The client’s blood pressure is 152/88 mm Hg.
After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client’s understanding.
Which statement made by the client indicates a correct understanding of the diet therapy for this condition?
“I must decrease my intake of fat.”
“I will increase my intake of protein.”
“A decreased intake of carbohydrates will be required.”
“An increased intake of vitamin C is necessary.”
A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma. The nurse notes that the client’s
blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour. What action would the
nurse take?
Position the client to lay on the surgical incision.
Measure the specific gravity of the client’s urine.
Administer intravenous pain medications.
Assess the rate and quality of the client’s pulse.
The nurse is admitting a client who has acute glomerulonephritis caused by beta streptococcus. What drug therapy would the nurse
expect to be prescribed for this client?
Antihypertensives
Antilipidemics
Antidepressants
Antibiotics
After teaching a client with hypertension secondary to renal disease, the nurse assesses the client’s understanding. Which statement
made by the client indicates a need for additional teaching?
“I can prevent more damage to my kidneys by managing my blood pressure.”
“If I have increased urination at night, I need to drink less fluid during the day.”
“I need to see the registered dietitian to discuss limiting my protein intake.”
“It is important that I take my antihypertensive medications as directed.”
A nurse cares for a client who has pyelonephritis. The client states, “I am embarrassed to talk about my symptoms.” How would the
nurse respond?
“I am a professional. Your symptoms will be kept in confidence.”
“I understand. Elimination is a private topic and shouldn’t be discussed.”
“Take your time. It is okay to use words that are familiar to you.”
“You seem anxious. Would you like a nurse of the same gender to care for you?”
A nurse assesses a client who has a family history of polycystic kidney disease (PKD). Which assessment findings would the nurse
expect? (Select all that apply.)
Nocturia
Flank pain
Increased abdominal girth
Dysuria
Hematuria
A nurse assesses a client with nephrotic syndrome. Which assessment findings would the nurse expect? (Select all that apply.)
Proteinuria
Hypoalbuminemia
Lipiduria
Costovertebral angle (CVA) tenderness
Dysuria
A nurse assesses a client who is recovering from a nephrostomy. Which assessment findings would alert the nurse to urgently
contact the primary health care provider? (Select all that apply.)
Bloody drainage at site
Foul-smelling drainage
Urine draining from site
Clear drainage
Patient reports headache
A nurse teaches a client with polycystic kidney disease (PKD). Which statements would the nurse include in this client’s discharge
teaching? (Select all that apply.)
“Take your blood pressure every morning.”
“Weigh yourself at the same time each day.”
“Adjust your diet to prevent diarrhea.”
“Contact your provider if you have visual disturbances.”
“Assess your urine for renal stones.”
The nurse is reviewing the results of a client’s urinalysis. The client has a diagnosis of acute glomerulonephritis. Which urine
findings would the nurse expect? (Select all that apply.)
Presence of protein
Presence of red blood cells
Presence of white blood cells
Acidic urine
Dilute urine
The nurse is assessing a client with acute pyelonephritis. What assessment findings would the nurse expect? (Select all that apply.)
Fever
Chills
Tachycardia
Tachypnea
Flank or back pain, Fatigue
