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N368 Med/Surg
Chapter 29 Kidney NCLEX Review Quiz
15
Nursing
Undergraduate 3
11/29/2009

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Cards

Term
A 30 year old client has just been diagnosed with polycystic kidney disease. The nurse would expect to develop a plan of care based on which of the following nursing diagnoses?
Definition
Infection related to obstructed urinary drainage.
Term
The client has been diagnosed with chronic glomerulonephritis. The nurse should teach the client that the disease may progress to:
Definition
end stage renal disease.
Term
In order to slow the progression of end stage renal disease in the client who has been diagnosed with glomerular disease the nurse would plan to administer: (Select all that apply)
Definition
antihypertensives.

nonsteriodal anti-inflammatory drugs.
Term
The physician suspects the client suffered renal artery trauma after a motor vehicle accident. In order to confirm the diagnosis the nurse would expect to prepare the client for which diagnostic test?
Definition
Renal arteriography
Term
The nurse caring for a patient who is experiencing renal cancer would include which priority nursing intervention after radical nephrectomy?
Definition
Assessment of respiratory complications
Term
A client who has experienced a burn injury over 40 percent of his body is at risk for acute tubular necrosis. In order to prevent renal failure in this client the nurse should: (Mark all that apply)
Definition
maintain blood pressure.

prevent infection.

maintain adequate fluid balance.
Term
When caring for a client with acute renal failure the nurse would plan which one of the following treatment goals for the client?
Definition
Compensate for renal impairment by restoring fluid balance.
Term
Within the question text below, there is one text entry field where you can enter your answer.
The nursing instructor is teaching the students about dialysis for the client with end stage renal disease. The nurse teaches the students that the client may experience hypotension, muscle cramping and cardiovascular disease when receiving ___________.
Definition
hemodialysis
Term
The nurse is caring for a client with acute renal failure. When providing the dietary instruction, the nurse would evaluate that the client has understood the instructions when the client states “I would avoid
Definition
cereal with bananas and orange juice”.
Term
The client with chronic renal failure has a serum potassium of 6.6 mEq/L. The nurse should anticipate an order for:
Definition
sodium polystyrene sulfonate (Kayexalate).
Term
A client with chronic renal failure has had an arteriovenous fistula created for hemodialysis. The nurse should assess this client for:
Definition
a bruit and a thrill.
Term
The client with end stage renal disease has received a kidney transplant. The client asks “Why do I need to take cyclosporine (sandimmune)?” The nurse’s best response is:
Definition
“It will help prevent rejection of the kidney by suppressing your immune system.”
Term
The client has just returned from hemodialysis. It is essential for the nurse to evaluate the client for:
Definition
signs of disequilibrium syndrome.
Term
The nurse should instruct the client who is performing peritoneal dialysis to remain in which one of the following positions?
Definition
Semi-Fowler’s
Term
In the client experiencing acute renal failure the nurse should evaluate which laboratory diagnostic tests to assess renal function? (Mark all that apply)
Definition
Blood urea nitrogen

Creatinine
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