front 1 A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding should the nurse expect the client to report?
| back 1 B. Projectile vomiting |
front 2 A client with a history of Crohn disease develops an intestinal obstruction. A nasogastric tube is inserted and connected to low continuous suction. The nurse monitors the client for fluid volume deficit. What clinical finding does the nurse expect if the client becomes dehydrated?
| back 2 C. Inelastic skin turgor |
front 3 A client is diagnosed with a peptic ulcer. When teaching about peptic ulcers, the nurse instructs the client to report what kind of stools?
| back 3 D. Dark brown or black |
front 4 A client with irritable bowel syndrome has instructions to take psyllium 2 rounded teaspoons full twice a day for constipation. What is most important for the nurse to include in the teaching plan?
| back 4 C. Each dose should be taken with a full glass of water or juice. |
front 5 A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child?
| back 5 C. Cloudy return dialysate |
front 6 Four days after abdominal surgery a client has not passed flatus and there are no bowel sounds. Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus?
| back 6 B. Impaired neural functioning |
front 7 A client is admitted to the hospital in the oliguric phase of acute kidney injury. The nurse estimates that the urine output for the last 12 hours is about 200 mL. The nurse reviews the plan of care and notes a prescription for 900 mL of water to be given orally over the next 24 hours. What does the nurse conclude about the amount of fluid prescribed?
| back 7 C. It will compensate for both insensible and expected output over the next 24 hours. |
front 8 A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system?
| back 8 D. Loop of Henle |
front 9 A nurse is caring for a client with chronic kidney failure. What should the nurse teach the client to limit the intake of to help control uremia associated with end-stage renal disease (ESRD)?
| back 9 B. Protein |
front 10 A nurse is caring for a client with acute kidney injury who is receiving a protein-restricted diet. The client asks why this diet is necessary. Which information should the nurse include in a response to the client’s questions?
| back 10 C. This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. |
front 11 A nurse is caring for a client receiving hemodialysis for chronic kidney disease. The nurse should monitor the client for which complication?
| back 11 B. Hepatitis B |
front 12 A nurse is caring for a client with end-stage renal disease. For which clinical indicator should the nurse monitor the client?
| back 12 C. Azotemia |
front 13 A nurse is caring for a client with acute kidney injury. Which findings should the nurse anticipate when reviewing the laboratory report of the client’s blood level of calcium, potassium, and creatinine? Select all that apply.
| back 13 A. Calcium: 7.6 mg/dL (1.9 mmol/L) C. Potassium 6.0 mEq/L (6.0 mmol/L) E. Creatinine: 3.2 mg/dL (194 mcmol/L) |
front 14 A client with end-stage kidney disease is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the client for which peritoneal dialysis complications? Select all that apply.
| back 14 C. Tachycardia D. Cloudy outflow E. Abdominal pain |
front 15 A nurse is caring for a client with end-stage renal disease. Which clinical indicators of end-stage renal disease should the nurse expect? Select all that apply.
| back 15 C. Azotemia D. Hypertension |
front 16 When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do?
| back 16 B. Turn from side to side |
front 17 A nurse is evaluating a client’s understanding of peritoneal dialysis. Which information in the client’s response indicates an understanding of the purpose of the procedure?
| back 17 D. Removing toxins in addition to other metabolic wastes |
front 18 A client with a history of chronic kidney disease is hospitalized. Which assessment findings will alert the nurse to kidney insufficiency?
| back 18 B. Edema and pruritus |
front 19 A client who has been on hemodialysis for several weeks asks the nurse what substances are being removed by the dialysis. Which substance removal should the nurse share with the client?
| back 19 B. Sodium |
front 20 A client is to have hemodialysis. What must the nurse do before this treatment?
| back 20 B. Weigh the client to establish a baseline for later comparison. |
front 21 A client with end-stage renal disease is hospitalized. For which complications should the nurse monitor the client? Select all that apply.
| back 21 A. Anemia B. Dyspnea |
front 22 A nurse is caring for a client who had a kidney transplant. Which test is most important for the nurse to monitor to determine whether a client’s newly transplanted kidney is working effectively?
| back 22 B. Serum creatinine |
front 23 A nurse is caring for a client with end-stage kidney disease who is about to receive a transplant. When the client returns from the postanesthesia care unit after a kidney transplant, how often should the nurse measure the client’s urinary output?
| back 23 A. 1 hour |
front 24 The primary healthcare provider prescribed a diagnostic study with contrast medium for an older adult who has an endocrine disorder. Which assessment result should the nurse check before the study?
| back 24 B. Serum creatinine |
front 25 Which diagnostic tests are used to measure the kidney size of a client with kidney dysfunction? Select all that apply.
| back 25 C. Radiography E. Computed tomography (CT) |
front 26 The registered nurse is instructing the student nurse regarding the gross anatomy and physiology of the kidneys prior to client examination. Which statement made by the student nurse indicates the nurse needs to intervene?
| back 26 A. "The right kidney is a little longer and narrower than the left kidney." |
front 27 The nurse is preparing a blood transfusion for a client with renal failure. Why does anemia often complicate renal failure?
| back 27 B. Decrease in erythropoietin |
front 28 The registered nurse is preparing to assess a client’s renal system. Which statement by the nurse indicates effective technique?
| back 28 C. "I must first auscultate the client and then proceed to percussion and palpation." |
front 29 The nurse is preparing a client who is on metformin therapy and is scheduled to undergo renal computed tomography with contrast dye. What does the nurse anticipate the primary healthcare provider to inform the client regarding the procedure?
| back 29 A. "Discontinue metformin 1 day prior to procedure." |
front 30 What should the nurse monitor for when caring for a postoperative client who presents with 180 mL of urine in the urinary drainage bag from the past 8 hours?
| back 30 A. Renal failure |