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Nursing Considerations for Kidney Conditions

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

a)

Diuretic use

b)

Family history

c)

BMI less than 25

d)

Hypocalcemia

2.

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

a)

Renal function is reestablished.

b)

BUN and creatinine levels decrease.

c)

Urine output is less than 400 mL per 24 hr.

d)

The glomerular filtration rate (GFR) recovers.

3.

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

a)

Breast cancer survivor for 8 years

b)

Pacemaker

c)

65-years of age

d)

Alcohol use disorder

4.

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

a)

Protein in the urine

b)

Dehydration

c)

Iron deficiency

d)

Obesity

5.

A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

a)

Blood pressure control

b)

Fluid restriction

c)

Blood glucose control

d)

Pain management

6.

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

a)

The client has a 5 lb weight gain since yesterday.

b)

Flattened neck veins

c)

Oxygen saturation 93%

d)

Return of skin to previous position when the client’s shin is palpated

7.

A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the week outside in temperatures between 32.2° C to 37.8° C (90° F to 100° F). Which of the following should the nurse tell the client to prevent a reoccurrence of renal calculi?

a)

Eat a diet high in purine-rich foods.

b)

Eat a diet high in calcium oxalate-rich foods.

c)

Drink plenty of fluids during the day.

d)

Continue to take your prescribed gout medication.

8.

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

a)

"I drink at least 2 quarts of fluid every day."

b)

"The last time I voided it was painful and red-tinged."

c)

"My period ended 2 days ago."

d)

"I don't eat shellfish because it gives me hives."

9.

A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the UTI?

a)

Prostatitis

b)

Chlamydia

c)

Benign prostatic hypertrophy

d)

Erectile dysfunction

10.

A nurse in a public clinic is researching health data on culturally diverse populations in the community.  Which of the following population groups should the nurse anticipate having end-stage renal disease due to diabetes mellitus?

a)

Black American

b)

Non-Hispanic White

c)

Asian American

d)

Hispanic/Latino