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 reviews the allergy list of a client who is scheduled for an intravenous urography. Which client allergy should alert the nurse to urgently contact the health care provider?
Correct Answer: A
Rationale: Seafood allergies are often associated with iodine sensitivity, which is critical because intravenous urography uses iodine-based contrast media. This allergy increases the risk of a severe reaction, requiring urgent consultation with the provider. Penicillin, bee sting, or red food dye allergies are less relevant to the procedure.
Question 2 of 5
A nurse cares for a client with diabetes mellitus who is prescribed metformin and is scheduled for an intravenous urography. Which action should the nurse take?
Correct Answer: B
Rationale: Metformin should be held for 48 hours prior to procedures involving iodinated contrast, like intravenous urography, due to the risk of lactic acidosis if renal function is impaired by the contrast dye. Keeping the client NPO, checking blood glucose, or administering IV fluids are not the priority actions.
Question 3 of 5
A nurse teaches a client who is recovering from a urography. Which instruction should the nurse include?
Correct Answer: C
Rationale: Dyes used in urography are potentially nephrotoxic, and a large fluid intake helps eliminate the dye rapidly, reducing the risk of kidney damage. The dyes are not radioactive, dribbling of urine is not expected, and the dye does not cause skin discoloration.
Question 4 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 5 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.