Management Of Clients With Renal Disorders

This question bank verified by Studydeets

Questions Bank

All Questions
Filter by:
Question 1
Free
Multiple Choice

The nurse warns a client with insulin-dependent diabetes mellitus (IDDM) who has developed proteinuria that this finding is significant because

Choose correct answer/s
A

insulin requirements should be lowered.

B

it indicates that the client's diabetes is uncontrolled.

C

renal failure will most likely develop in 5 to 10 years.

D

renal failure will result if diabetes is not well controlled.

Check answer
Question 2
Free
Multiple Choice

In the nursing care plan for a client with acute pyelonephritis, the nurse would include teaching the client to

Choose correct answer/s
A

complete the entire course of antibiotics.

B

drink 4000 ml of fluid daily.

C

maintain complete bed rest.

D

withhold antihypertensive medications.

Check answer
Question 3
Free
Multiple Choice

Given the diagnosis of acute glomerulonephritis, the appropriate nursing diagnosis would be

Choose correct answer/s
A

Deficient Knowledge related to decreasing risk factors

B

Fatigue related to increased metabolic demands and anemia

C

Impaired Urinary Elimination related to dysuria, pyuria, and frequency

D

Risk for Deficient Fluid Volume related to fever, nausea, vomiting, and diarrhea

Check answer
Question 4
Free
Multiple Choice

When obtaining the history of a client with acute glomerulonephritis, the nurse should be sure to ask about

Choose correct answer/s
A

a history of hypertension.

B

a history of long-term analgesic use.

C

recent respiratory tract infections.

D

recent urinary tract infections.

Check answer
Question 5
Free
Multiple Choice

A client with nephrotic syndrome is being taught about self-care at home. The teaching plan should include information on

Choose correct answer/s
A

a high-protein diet.

B

diligent skin care.

C

forcing fluids.

D

prophylactic antibiotics.

Check answer
Question 6
Multiple Choice

A client has nephritis. Which intervention can the nurse institute to best encourage the client to attain adequate emotional rest?

Choose correct answer/s
A
Encourage the family to visit often.
B
Have the client schedule specific rest periods.
C
Help the client deal with emotional reactions.
D
Request anti-anxiety medication from the physician.
To unlock the question
Question 7
Multiple Choice

In the care plan for a client after nephrectomy, the nurse would include an intervention for

Choose correct answer/s
A
encouraging ambulation.
B
maintaining adequate hydration.
C
maintaining patency of wound drains.
D
promoting effective breathing patterns.
To unlock the question
Question 8
Multiple Choice

A nurse assessing a client with a renal abscess would expect to find

Choose correct answer/s
A
bacteria in the urine.
B
high fever.
C
hypertension.
D
oliguria.
To unlock the question
Question 9
Multiple Choice

The nurse would anticipate that a client with rhabdomyolysis would exhibit

Choose correct answer/s
A
brown-tinged urine.
B
gross hematuria.
C
hypokalemia.
D
hypophosphatemia.
To unlock the question
Question 10
Multiple Choice

A nurse is caring for a client with chronic kidney disease who is admitted for pneumonia. The nurse would expect that an appropriate antibiotic that the physician might consider is a/an

Choose correct answer/s
A
aminoglycoside.
B
cephalosporin.
C
penicillin.
D
sulfonamide.
To unlock the question
Question 11
Multiple Choice

As part of the care plan for a client with pyelonephritis, the nurse should

Choose correct answer/s
A
assess for manifestations of fluid overload.
B
encourage increased activity.
C
increase fluid intake to 3 to 4 L/day.
D
watch for early manifestations of anaphylaxis.
To unlock the question
Question 12
Multiple Choice

A client with hydronephrosis has undergone stent placement to relieve the obstruction. The priority action of the nurse is to

Choose correct answer/s
A
assess serum electrolytes and glucose levels.
B
monitor for manifestations of urinary tract infection.
C
monitor vital signs every 30 minutes for the first 4 hours.
D
provide accurate hourly fluid volume replacement.
To unlock the question
Question 13
Multiple Choice

A nurse could advise a group of employees at a work-site health fair that one health promotion measure that may help reduce the risk of renal cancer is

Choose correct answer/s
A
consuming a low-protein diet.
B
getting plenty of exercise.
C
limiting antibiotic use.
D
not smoking.
To unlock the question
Question 14
Multiple Choice

A client has renal cancer and is scheduled for a nephrectomy. Preoperatively, the nurse finds the client very quiet with a worried facial expression. Which statement by the nurse would be most appropriate?

Choose correct answer/s
A
"Chemotherapy has very good results when given after surgery."
B
"Don't worry; only about 35% of clients have advanced disease when diagnosed."
C
"Most people are worried before they go to surgery to remove cancer."
D
"You look concerned. Are you worried about having only one kidney?"
To unlock the question
Question 15
Multiple Choice

For a client after nephrectomy and based on the location of the incision, the nurse would formulate the nursing diagnosis of

Choose correct answer/s
A
Acute Pain related to surgery
B
Anxiety related to long-term outcome
C
Risk for Impaired Skin Integrity related to immobility
D
Risk for Injury: Postoperative Complications related to surgical procedure
To unlock the question
Question 16
Multiple Choice

The nurse caring for a client admitted for massive blood loss from ruptured esophageal varices would assess closely for

Choose correct answer/s
A
albuminuria related to renal hypertension.
B
decreasing urine output related to hypovolemia.
C
hematuria related to glomerular damage.
D
urine changes related to rhabdomyolysis.
To unlock the question
Question 17
Multiple Choice

In a client with glomerulonephritis, the nurse would assess for the cardinal manifestation of

Choose correct answer/s
A
edema.
B
fever.
C
hypertension.
D
pyuria.
To unlock the question
Question 18
Multiple Choice

The nurse who notes documentation of Grey Turner's sign in a client who experienced renal trauma would interpret this to be a manifestation of

Choose correct answer/s
A
increased blood urea nitrogen.
B
proteinuria.
C
retroperitoneal hemorrhage.
D
urine specific gravity of 1.20.
To unlock the question
Question 19
Multiple Choice

For a client with renal trauma exhibiting gross hematuria, the nurse would enforce the activity limitation of

Choose correct answer/s
A
ambulation in hall once daily.
B
ambulation in room only.
C
bed rest.
D
bathroom privileges.
To unlock the question
Question 20
Multiple Choice

Acute renal artery obstruction would be suspected in a client if the nurse assessed sudden

Choose correct answer/s
A
flank pain over the affected kidney.
B
hypothermia.
C
increase in urine output.
D
intermittent fever and sweating.
To unlock the question