The nurse is preparing a client for a renal ultrasound. Which of the following statements accurately describes the purpose of this procedure?
- A. It measures the concentration of potassium and sodium in the blood.
- B. It evaluates the function of the kidneys in producing red blood cells.
- C. It evaluates the size, shape, and location of the kidneys, as well as blood flow to the kidneys.
- D. It detects abnormal levels of urea in the bloodstream.
Correct Answer: C
Rationale: Renal ultrasound assesses kidney size, shape, location, and blood flow.
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The nurse is planning care for a client with a low serum albumin level. Which of the following interventions should the nurse include in the client's plan of care?
- A. Obtain a capillary blood glucose
- B. Implement seizure precautions
- C. Implement strict bed rest
- D. Collaborate with a registered dietician
Correct Answer: D
Rationale: Low albumin requires dietary intervention, best managed with a dietician.
Intravenous therapies often consist of electrolyte replacement therapies. Select the electrolyte that is accurately paired with one of its functions.
- A. Sodium: The control and management of circulating blood volume.
- B. Bicarbonate: The regulation of extracellular fluid.
- C. Chloride: The regulation of plasma protein.
- D. Calcium: The metabolism of fats, carbohydrates, and proteins.
Correct Answer: A
Rationale: Sodium regulates circulating blood volume by maintaining osmotic balance.
When assessing for dehydration, the nurse should observe for which of the following?
- A. Headache and increased urinary output
- B. Weight gain and edema
- C. Hypertension and decreased urinary output
- D. Hypotension, headache, and dry mucous membranes
Correct Answer: D
Rationale: Dehydration causes hypotension, headache, and dry mucous membranes due to fluid loss.
The nurse is teaching a client about consuming cranberry juice to prevent recurrent simple cystitis. The nurse understands that the treatment goal of consuming cranberry is to
- A. increase the urine specific gravity.
- B. increase the urine leukocyte count.
- C. acidify the urine.
- D. increase the protein in the urine.
Correct Answer: C
Rationale: Cranberry juice acidifies urine, creating an unfavorable environment for bacterial growth, helping prevent cystitis.
The nurse is caring for a client who has just returned from an intravenous urography procedure. Which intervention should the nurse take to prevent post-procedure acute kidney injury?
- A. Assess the venipuncture site for redness
- B. Have the client obtain their daily weight for three days after the procedure
- C. Instruct the client to remain motionless
- D. Encourage the client to increase their fluid intake
Correct Answer: D
Rationale: Increased fluid intake helps flush contrast media, reducing the risk of AKI post-urography.
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