Renal Saunders Test Questions with Complete Solutions
7 views 0 purchase
Course
Renal Saunders
Institution
Renal Saunders
Renal Saunders Test Questions with Complete Solutions
A nurse is reviewing the client's record and notes that the health care provider has documented that the client has a renal disorder. On review of the laboratory results, the nurse would most likely expect to note which of the following?
1...
Renal Saunders Test Questions with
Complete Solutions
A nurse is reviewing the client's record and notes that the health care provider has
documented that the client has a renal disorder. On review of the laboratory results, the
nurse would most likely expect to note which of the following?
Rationale:
BUN testing is a frequently used laboratory test to determine renal function. The BUN
level starts to rise when the glomerular filtration rate falls below 40% to 60%. A
decreased hemoglobin and RBC count may be noted if bleeding from the urinary tract
occurs or if erythropoietic function by the kidney is impaired. An increased WBC is most
likely to be noted in renal disease.
After a renal biopsy, the client complains of pain at the biopsy site, which radiates to the
front of the abdomen. Based on this complaint, the nurse further monitors the client for:
1. Bleeding
2. Infection
3. Renal colic
4. Normal, expected pain - Answer-1. Bleeding
Rationale:
If pain originates at the biopsy site and begins to radiate to the flank area and around
the front of the abdomen, bleeding should be suspected. Hypotension, a decreasing
hematocrit, and gross or microscopic hematuria would also indicate bleeding. Signs of
infection would not appear immediately after a biopsy. Pain of this nature is not normal.
There are no data to support the presence of renal colic.
A nurse is monitoring an older client suspected of having a urinary tract infection (UTI)
for signs of the infection. The nurse would be alert to the presence of:
, 1. Fever
2. Urgency
3. Confusion
4. Frequency - Answer-3. Confusion
Rationale:
In an older client, the only symptom of a UTI may be something as vague as increasing
mental confusion or frequent unexplained falls. Frequency and urgency may commonly
occur in an older client, and fever can be associated with a variety of conditions.
A nurse is collecting data on a newly admitted client with a diagnosis of bladder cancer.
While collecting data on this client the nurse would most likely expect to note:
1. Urgency
2. Frequency
3. Hematuria
4. Burning on urination - Answer-3. Hematuria
Rationale:
Gross, painless hematuria is most frequently the first manifestation of bladder cancer.
As the disease progresses, the client may experience burning, frequency, and urgency.
A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of
the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. The
nurse monitors the client for signs of transurethral resection (TUR) syndrome, including:
1. Tachycardia and diarrhea
2. Bradycardia and confusion
3. Increased urinary output and anemia
4. Decreased urinary output and bladder spasms - Answer-2. Bradycardia and
confusion
Rationale:
TUR syndrome is caused by increased absorption of nonelectrolyte irrigating fluid used
during surgery. The client may show signs of cerebral edema and increased intracranial
pressure such as increased blood pressure, bradycardia, confusion, disorientation,
muscle twitching, visual disturbances, and nausea and vomiting.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Perfectscorer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.19. You're not tied to anything after your purchase.
