ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 67 : Care of Patients with Kidney Disorders Questions
Question 1 of 5
A nurse assesses a client who is recovering from a nephrostomy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Cloudy or foul-smelling drainage and urine leaking from the nephrostomy site suggest infection or obstruction, requiring urgent provider notification. Clear drainage is normal, and a headache is unrelated unless accompanied by other concerning symptoms.
Question 2 of 5
A nurse teaches a client with polycystic kidney disease (PKD). Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Clients with PKD should monitor blood pressure and weight daily to track hypertension and fluid status, and report visual disturbances, which may indicate a berry aneurysm. Adjusting diet to prevent constipation, not diarrhea, is appropriate, and renal stones are not a primary concern in PKD.
Question 3 of 5
An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours. At what rate should the nurse set the intravenous pump to infuse the fluids? (Record your answer using a whole number.)
Correct Answer: C
Rationale:
To deliver 3 L (3000 ml) over 6 hours, the infusion rate is calculated as 3000 ml ÷ 6 hours = 500 ml/hr. This rate ensures the prescribed volume is administered within the specified time frame.
Question 4 of 5
A nurse assesses a client with polycystic kidney disease (PKD). Which assessment finding should alert the nurse to routinely contact the health care provider?
Correct Answer: B
Rationale: Periorbital edema is not a typical finding associated with PKD and warrants further investigation, as it may indicate another underlying condition. Flank pain, enlarged abdomen, and bloody or cloudy urine are common symptoms of PKD due to kidney enlargement, cyst rupture, or infection.
Question 5 of 5
A nurse cares for a client with autosomal dominant polycystic kidney disease (ADPKD). The client asks, 'Will my children develop this disease?' How should the nurse respond?
Correct Answer: D
Rationale: ADPKD is an autosomal dominant disorder, meaning there is a 50% chance of passing the gene to each child, regardless of gender. It is not sex-linked, and only one parent needs to have the gene for the child to be at risk.