Nokea
A client is scheduled for a renal angiography. What would be appropriate for the nurse to do before the test?
- A. Monitor the client for signs of electrolyte and water imbalance.
- B. Monitor the client for an allergy to iodine contrast material.
- C. Assess the client's mental changes.
- D. Evaluate the client for periorbital edema.
Correct Answer: B
Rationale: A renal angiography procedure will be contraindicated if the client is allergic to iodine contrast material. Therefore, it is important for the nurse to monitor the client for an allergy to iodine contrast material. The nurse monitors the client for the signs of electrolyte and water imbalance, mental changes, and periorbital edema at any time regardless of the test being done.
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The nurse is instructing a health class of high school seniors on the function of the kidney. The nurse is correct to highlight which information?
- A. Regulates estrogen and progesterone
- B. Excretes waste products
- C. Controls blood pressure
- D. Regulate calcium and the synthesis of vitamin D
- E. Activates growth hormone
- F. Regulates red blood cell production
Correct Answer: B,C,D,F
Rationale: The nurse is correct to highlight all of the options except regulates estrogen and progesterone. The pituitary gland controls hormone secretion.
The nurse has received morning lab work on a client with chronic renal disease. Which finding indicates renal disease?
- A. Urine pH of 6.5
- B. Urine nitrate: negative
- C. Protein level of 400 mg/dL
- D. Specific gravity: 1.0.2
Correct Answer: C
Rationale: The nurse must analyze components of a urinalysis to determine abnormal results. Protein at a level of 400 mg/dL is high and indicates renal disease. The other results are normal.
The nurse is providing care to a client who has a renal biopsy. The nurse would need to be alert for signs and symptoms of what?
- A. Bleeding
- B. Infection
- C. Dehydration
- D. Allergic reaction
Correct Answer: A
Rationale: Renal biopsy carries the risk of post-procedure bleeding because the kidneys receive up to 25% of the cardiac output each minute. Therefore, the nurse would need to be alert for signs and symptoms of bleeding. Although infection is also a risk, the risk for bleeding is greater. Dehydration and allergic reaction are not associated with a renal biopsy.
The nurse is assessing a client at the diagnostic imaging center. For which diagnostic test would the client be assessed for an allergy to iodine?
- A. Uroflowmetry
- B. Computed tomography with contrast
- C. Cystoscopy
- D. Bladder ultrasonography
Correct Answer: B
Rationale: The nurse is correct to assess for an allergy to iodine when a computed tomography with contrast medium is prescribed. Uroflowmetry, cystoscopy, and bladder ultrasonography are performed without the use of contrast medium.
A client who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture. Which measure can the nurse suggest to the client that may help prevent the entire urine specimen from becoming contaminated?
- A. Collect the voided urine sample primarily before 5 AM.
- B. Refrigerate the specimen until it is taken to the laboratory.
- C. Use the same receptacle for voiding and defecation.
- D. Store the collected urine away from sunlight.
Correct Answer: B
Rationale: To prevent the entire urine specimen from becoming contaminated, the urine specimen should be refrigerated until it can be taken to the laboratory. The nurse should ask the client to use separate receptacles for voiding and defecation to prevent any part of the specimen from being lost or contaminated. Urinating and collecting the urine sample only before 5 AM and collecting and storing the urine away from sunlight will not help prevent the urine specimen from becoming contaminated.