Nokea
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
- A. Pulse rate
- B. Body weight
- C. A Abdominal girth
- D. Urine output
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
You may also like to solve these questions
It is most appropriate for the nurse to advise the client that taking this medication will have which effect on the urine?
- A. The urine will look cloudy.
- B. The urine will appear orange.
- C. The urine will become scant.
- D. The urine will have a strong odor.
Correct Answer: B
Rationale: Phenazopyridine (Pyridium) commonly causes the urine to turn orange, which is a harmless side effect that the client should be informed about.
The client is 12 hours postoperative renal surgery. Which data warrant immediate intervention by the nurse?
- A. The abdomen is soft, nontender, and rounded.
- B. Pain is not felt with dorsal flexion of the foot.
- C. The urine output is 60 mL for the past two (2) hours.
- D. The client’s trough vancomycin level is 24 mcg/mL.
Correct Answer: D
Rationale: A vancomycin level of 24 mcg/mL is above the therapeutic range (10–20 mcg/mL), risking nephrotoxicity, especially post-renal surgery. Soft abdomen, no pain on dorsiflexion, and 60 mL urine output are normal.
Which nursing assessment is essential to add to the client's care plan?
- A. Monitor body temperature.
- B. Measure intake and output.
- C. Assess for urine retention.
- D. Check the urine for glucose.
Correct Answer: B
Rationale: Measuring intake and output is critical in renal failure to monitor fluid balance and kidney function.
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which nursing intervention should the nurse perform?
- A. Measure the client’s output from the indwelling catheter.
- B. Record the client’s intake and output on the I&O sheet.
- C. Instruct the client on appropriate fluid restrictions.
- D. Provide water for a client diagnosed with diabetes insipidus.
Correct Answer: C
Rationale: Instructing on fluid restrictions requires nursing judgment and education skills, which are outside the UAP’s scope. Measuring output, recording I&O, and providing water are delegable tasks.
Which of the following measures performed by the client would offer the best protection against acquiring a urinary tract infection?
- A. Wiping away from the urinary meatus after bowel elimination
- B. Performing appropriate hand washing after bowel elimination
- C. Using a feminine hygiene spray after bowel elimination
- D. Drying the perineum thoroughly after bowel elimination
Correct Answer: A
Rationale: Wiping away from the urinary meatus prevents fecal bacteria from being introduced into the urethra, reducing UTI risk.