ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 65 : Assessment of the Renal/Urinary System Questions
Question 1 of 5
A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client states, My pain has suddenly increased to a 3 on a scale of 0 to 10. Which action should the nurse take?
Correct Answer: C
Rationale: An increase in pain intensity after a percutaneous kidney biopsy could indicate internal hemorrhage. Checking vital signs is the priority to assess for signs of hemorrhage, such as tachycardia or hypotension, before taking other actions like administering analgesics or examining urine.
Question 2 of 5
A nurse obtains a sterile urine specimen from a clients Foley catheter. After applying a clamp to the drainage tubing distal to the injection port, which action should the nurse take next?
Correct Answer: C
Rationale: Cleaning the injection port cap with an antiseptic, such as povidone-iodine solution, is essential to prevent contamination before aspirating the urine sample. Clamping another section is unnecessary, and discarding the first sample is not required for catheterized urine collection.
Question 3 of 5
A nurse cares for a client who is having trouble voiding. The client states, I cannot urinate in public places. How should the nurse respond?
Correct Answer: D
Rationale: The nurse should provide as much privacy as possible to address the client's discomfort with voiding in public settings. Closing the curtain is a practical and immediate solution within the client's current room. Turning on the faucet or administering a diuretic does not address the privacy concern, and moving to a private room may not be feasible.
Question 4 of 5
After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAPs performance. Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
Correct Answer: A
Rationale: Moving the client to a room with a private bathroom is unnecessary and impractical for a bladder scan, which can be performed in the client's current room with proper privacy measures, such as closing the curtain. Closing the curtain, positioning the client correctly, and cleaning the probe are appropriate actions.
Question 5 of 5
A nurse assesses clients on the medical-surgical unit. Which clients are at risk for kidney problems? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Many medications and supplements can affect kidney function. Synthetic creatine supplements, metformin, and high-dose or long-term NSAIDs increase the risk of kidney dysfunction due to their nephrotoxic potential or impact on renal perfusion. Prenatal vitamins and albuterol nebulizers do not pose significant risks to kidney function.