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ATI ELIMINATION URINARY ( UPDATED 2024 ) COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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ATI ELIMINATION URINARY ( UPDATED 2024 ) COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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ATI ELIMINATION URINARY ( UPDATED 2024 )COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
1. A nurse is collecting a 24hr creatinine clearance. During the collection, the client
accidentally discards a specimen. Which of the following is an appropriate nursing action?:
Discard the previous collection and start the collection again. Rationale: All urine voided in a
24hr must be collected, or the test results will not beaccurate.
2. A nurse is caring for a client with chronic renal failure. Which of the following client statements
indicates an understanding of the dietary needs for lifestyle management of this disease?: "I
will limit my fluid intake."
Rationale: The client who has chronic renal failure needs to avoid hypovolemia, or fluid
overload , by following the fluid restriction each daily. Protein restriction will alsobe necessary
to avoid elevating the serum BUN levels.
3. A nurse is caring for a client who has under-gone a non-related living donorkidney
transplant. On the 5th postoperative day, the nurse notes that the clienthas gained 1kg of body
weight since the previous day. The nurse suspects rejection. Which of the following would
also be seen in a client experiencing rejection?: Blood Pressure of 160/90mm/Hg
Rationale: If the client is having kidney rejection, that will be accompanied by kidney
failure. Consequently, due to the kidneys role in fluid and blood pressure regulation,the client
experiencing rejection will typically be hypertensive.
4. A nurse is caring for a client who has chronic renal failure. Which of the following should
the nurse remind the client to increase in her diet?: CalciumThe client should supplement
calcium in to her diet because the kidneys are unableto activate calcium through the
gastrointestinal track.
Rationale: The danger of peritonitis requires a sterile techniques, closed sterileinstillation and
drainage systems, and frequent cultures of peritoneal drainage.
5. A nurse is caring for a client with acute pyelonephritis. Which of the following is an
appropriate response by the nurse regarding home care.: Youshould complete the entire cycle
of antibiotic therapy.
Rationale: It is important that the client take the full prescription of antibiotic therapyto
decrease the chance of regrowth of the causative organism.
6. A nurse is caring for a younger adult client who sustained massive damageto the bladder.
An emergency cystectomy and ileal conduit was performed. After viewing the appliance for
the first time, the client tells the nurse, "Well, Iguess my sex life is over now." The most
therapeutic response from the nursewould be which of the following?: Lets talk about why you
feel that way. Rationale: In the therapeutic response the nurse acknowledges the client's
feelings
first and offer's to discuss the client's concerns. The nurse knows that ostomates live full,
active and happy lives (including sexual expression) with ileal conduits andexternal appliances
,7. ABG's: Blood gas measurements are used to evaluate a person's lung functionand
acid/base balance.
BG Element Normal Value RangepH 7.4 7.35 to 7.45
Pa02 90mmHg 80 to 100 mmHg
Sa02 93 to 100%
PaC02 40mmHg 35 to 45 mmHgHC03 24mEq/L 22 to 26mEq/L
Metabolic acidosis is characterized by a lower pH and decreased HCO3-, causingthe blood to
be too acidic for proper metabolic/kidney function. Causes include diabetes, shock, and renal
failure
8. Specific gravity: Norm: 1.005 - 1.030
9. urine pH: Norm: 4.5 - 8
10. BUN ( blood urea nitrogen): Norm: 5-20
‘20 BUN levels suggest impaired kidney function.
11. Cholesterol (total): Desirable: A cholesterol below 200 mg/dLHigh risk: A cholesterol ‘
or equal to 240 mg/dL
12. Glucose: From 70 to 99 mg/dL Normal fasting glucoseFrom 100 to 125 mg/dL
Prediabetes
126 mg/dL Diabetes
13. Glycosylated Hemoglobin (HgbA1C): A non-diabetic person will have an A1cresult “
than 5.7%
Diabetes: A1c level is 6.5% or higher
Increased risk of developing diabetes in the future: A1c of 5.7% to 6.4%
14. HematocritMale:
Female:: Hematocrit is often performed as part of a CBC, results from other com-ponents are
taken into consideration. A rise or drop in the hematocrit must be interpreted in conjunction
with other parameters, such as RBC count, hemoglobin,reticulocyte count and/or red blood
cell indices.
Men: 40%-55% Women:36%-46%
Cause ‘ Kidney tumorCause “ Kidney failure
15. platelets: Norm: 150,000 and 450,000 platelets per microlite“ 150,000 thrombocytopenia
‘ 450,000 thrombocytosis
16. potassium: Norm: 3.5-5.5 mmol/L
‘ potassium levels: Acute or chronic kidney failure, Addison's disease, Diabetes “Decreased
,potassium levels: diarrhea & vomiting, Hyperaldosteronism, complica-tion of acetaminophen
overdose, In diabetes, the potassium level may fall after someone takes insulin, potassium-
wasting diuretics
17. A nurse is caring for a client with recurrent kidney stones. The provider order several
diagnostic studies, including intravenous pyelogram (IVP), urineculture and sensitivity, and
strain all urine. The nurse needs to inquire furtherif the client states which of the following?: "I
never eat shellfish because they give me hives."
Rationale: Getting hives after eating shellfish is a likely indication of an allergy. Thecontrast
medium used for IVP dye is typically an iodine or shellfish derivative. A client with
sensitivity to iodine or shellfish may have an anaphylactic reaction afterthe contrast material
is injected.
18. A nurse is caring for a client who is receiving hemodialisis via the leftarteriovenous
fistula for management of chronic renal disease. Which of the following teaching points
should the nurse reinforce?: Avoid tight clothingaround the access site.
Rationale: Tight clothing may decrease the blood flow and cause clotting.
19. A nurse is reinforcing education on prostate health to a client. Which of the following
statements is an appropriate statement for the nurse to make regarding a PSA test.: The PSA
should not be given within 48hrs of a rectal exam.Rationale: PSA is a glycoprotein that is found
only in cytoplasm of the epithelial cellsof the prostate.
20. A nurse is caring for a client receiving peritoneal dialysis. The nurse notes that the client's
dialysate output is less than the input, the abdomenis distended, and the client is reporting
pain. Which of the following is an appropriate nursing action?: Change the client's position.
Rationale: Dialysate solution is infused through the catheter in the abdominal wall into the
peritoneal space. If the client appears to be retaining the dialysate solution,the client should
change positions to facilitate the drainage of the solution from theperitoneal cavity.
21. A nurse is caring for a client with suspected acute renal failure who is toundergo a renal
biopsy. Which of the following positions should the nurse assist the client into?: The client is
positioned prone with a pillow elevating the abdomen. A renal biopsy is the insertion of a
needle into the kidney just below thetwelfth rib to obtain diagnostic specimens.
22. A nurse is caring for a client receiving peritoneal dialysis. Which of thefollowing is a
complication of this procedure?: Infection
23. A nurse is caring for a client who was brought to the emergency room following an
accident. The nurse suspects a ruptured bladder. Which of thefollowing is consistent with this
diagnosis?: Hematuria
Rationale: The cheif manifestation of a ruptured bladder are hematuria (blood in theurine),
pelvic pain, and oliguria (low urine output).
24. A nurse is caring for a client who just had a transurethral resection of the prostate
(TURP). Which of the following should the nurse remind the client toreport to the provider?:
Painful urination
, Rationale:The client should notify the provider of any signs of urinary tract infection,such as
fever, urinary frequency, or painful urination.
25. A nurse is caring for a client who is to undergo a cystoscopy. When rein- forcing
teaching to the client on post-procedure expectations, which of the following should the nurse
state?: "Pink tinged urine and burning while urinatingcan be expected."
Rationale: Cystoscopy is a direct look inside the clients bladder through a small camera that is
inserted through the urethra. It is a common test used to look for causes to bleeding in the urine
and other bladder problems. Following the procedure,pink tinged urine and burning on
urination is to be expected.
26. A nurse is caring for a client with a history of cystitis.
Which of the following statements indicates a need for further education?: "I prefer to take
baths instead of showers."
Rationale: Women who have frequent uti's are encouraged to take showers instead of baths. A
tub bath is more likely to cause irritation and contamination of the urethra; therefor, leading to
frequent uti's.
27. A nurse is caring for a client with chronic kidney disease. The nurse anticipates that the
provider will prescribe a diet that has which of the following restrictions?: Protein
Rationale: Chronic kidney disease is irreversible loss of kidney ability to excrete waste,
concentrate urine, and conserve electrolytes. A diet low in protein suppliesonly essential
amino acids reducing the amount of metabolic waste products andmay help to preserve a
degree of kidney function.
28. A nurse is reinforcing teachings to a client scheduled for a vasectomy about the
procedure. Which of the following client statements indicates an understanding of the
procedure?: "I need to have a two follow-up negative spermcount."
Rationale: Contraceptive measures need to be used until after sperm analysis arenegative.
Sperm can remain viable for up to 6month in the vas deferens.
29. A nurse is caring for a client who has a diagnosis of renal calculi. Whichof the following
is a priority nursing action?: Relieve Pain
Rationale: The pain associated with renal calculi is severe and should be addressed
immediately.
30. A nurse is caring for a client who is suspected of having a UTI.The providerprescribes a
urine specimen. Which of the following findings should confirmto the nurse that an upper
UTI involving the kidney is present?: Casts Rationale: Casts are protein structures that are
precipitated in the renal tubules. Presence of the these in the urine indicates a pathologic
condition of the kidney.
31. Sodium: Norm: 135-145 mEq/L
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