ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
Following an open loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented first?
Correct Answer: B
Rationale: A sitz bath (B) relaxes perineal muscles post-surgery, promoting voiding as the first non-invasive step. Catheterization (A) risks UTI, fluids (C) don't address retention, and exercises (D) are preventive, making B the initial action.
Question 2 of 5
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?
Correct Answer: C
Rationale: Daily weight (C) is the best fluid volume indicator, reflecting gains/losses precisely (1 kg = 1 L). I&O (A) is less accurate, vital signs (B) are indirect, and turgor (D) is unreliable with edema, making C the top measure.
Question 3 of 5
Normal urinary output is ___ to 2,000 mL per 24 hours.
Correct Answer: B
Rationale: Normal urinary output is 1,000-2,000 mL/24 hours (B), balancing fluid intake. 500 mL (A) is oliguria, and 1,500-2,500 mL (C, D) fit within but aren't the lower bound, making B the standard.
Question 4 of 5
The nurse is contributing to the plan of care for a patient who has chronic kidney disease. What are possible effects of this condition the nurse should consider?
Correct Answer: F
Rationale: All but B and F occur due to the loss of function and resulting effects of the failed kidneys.
Question 5 of 5
A patient with recurrent urinary tract infections has just undergone a cystoscopy and complains of slight hematuria during the first void after the procedure. What is the nurses most appropriate action?
Correct Answer: B
Rationale: Slight hematuria post-cystoscopy (B) is normal due to mucosal trauma, requiring reassurance and monitoring. Vitamin K (A), physician report (C), or catheterization (D) aren't needed, making B the best action.