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WorksheetsNCLEX - RENAL Day2 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
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?
a)
Clients diagnosed with dyslipidemia
b)
Clients experiencing major depression
c)
Clients with benign prostatic hyperplasia
d)
Perimenopausal clients experiencing hot flashes
e)
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2.
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?
a)
Calculate total urinary output
b)
Hold the furosemide
c)
Notify the health care provider
d)
Obtain a 12-lead ECG
e)
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3.
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?
a)
Glomerular injury
b)
Hepatic impairment
c)
Inherited hypercholesterolemia
d)
Malnutrition
e)
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4.
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?
a)
I will encourage my child to play with other children
b)
I will monitor my child's urine for protein every day
c)
I will provide a healthy diet without added salt for my child
d)
I will report swelling or rapid weight gain to the health care provider
e)
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5.
Which of the following observations by the charge nurse would require immediate follow-up?
a)
A nurse is using gentle pressure to flush a kidney pelvis catheter with 5 mL of fluid
b)
A nursing assistant hangs a urinary drainage bag on the wheelchair handle when transporting a client
c)
An indwelling urinary catheter is taped to the client's upper, inner thigh
d)
Total 24-hour oral fluid intake for a client with a urinary diversion device is 2800 mL
e)
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6.
The nurse assesses a client with benign prostatic hyperplasia. Which client statement requires further assessment?
a)
I have a burning sensation when I urinate
b)
I have been having some dribbling after I finish urinating
c)
I missed 3 days of finasteride while on a trip last week
d)
I was awakened 3 times last night by the need to urinate
e)
-
7.
The nurse gathers history from a 58-year-old client with acute urinary retention. What questions help assess for benign prostatic hyperplasia?
a)
Do you feel the need to urinate again immediately after urinating?
b)
Do you have to strain to begin your stream of urine?
c)
How often do you engage in sexual intercourse?
d)
How often do you wake at night with the urge to urinate?
e)
Is your stream of urine weak or intermittent?
8.
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?
a)
Confusion
b)
Presbyopia
c)
Temperature 100.2°F (37.8°C)
d)
White blood cell count 12,000/mm³
e)
-
9.
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.
a)
orthostatic hypotension
b)
increased urine output
c)
elevated BUN level
d)
rust-colored urine
e)
weight gain
10.
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
a)
an increase in the serum calcium level
b)
an increase in the serum creatinine level
c)
a decrease in the serum potassium level
d)
a decrease in the serum phosphate level
e)
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11.
The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?
a)
A contrast medium is administered rectally to visualize the colon via x-ray.
b)
Bedridden clients receive this enema to stimulate defecation and relieve constipation.
c)
This enema assists the large intestines in removing excess potassium from the body.
d)
This enema is administered before bowel surgery to decrease bacteria in the colon.
e)
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12.
The nurse is caring for a client with multiple renal calculi. Which nursing interventions should be included in the plan of care? Select all that apply.
a)
Administer analgesics at regularly scheduled intervals
b)
Encourage fluid intake of up to 3 L/day
c)
Instruct client to stay on bed rest
d)
Provide massage to the client's flank
e)
Strain all urine for the presence of stones
13.
The nurse is planning care for a client with acute glomerulonephritis. Which of the following measurements is the most accurate indicator of fluid volume status?
a)
Daily weight
b)
Blood pressure
c)
Intake and output
d)
Severity of pitting edema
e)
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14.
A client suffering from bladder prolapse and subsequent stress urinary incontinence has discussed treatment options with the health care provider (HCP). The nurse evaluates that the client understands support pessary use when the client makes which statement?
a)
After the pessary is surgically placed, I'll experience bladder discomfort for several weeks.
b)
I can remain sexually active while my pessary is in place.
c)
I need to schedule weekly appointments to have the pessary removed and replaced.
d)
I should report any vaginal discharge to my HCP immediately.
e)
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15.
The nurse has attended a staff education program about physical assessment of the renal system. Which of the following statements by the nurse would indicate a correct understanding of the program?
a)
The bladder should be nontender and nonpalpable when it is empty.
b)
Dark brown urine may indicate that the client has a urinary tract infection.
c)
I should be able to palpate both kidneys regardless of the client's abdominal girth.
d)
I will assess for tenderness of the kidneys by performing blunt percussion over the client's lower abdomen.
e)
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