that the client has developed a complication after the cystoscopy?
a. Dizziness.
b. Chills.
c. Pink-tinged urine.
d. Bladder spasms.
2. After surgery for an ileal conduit, the nurse should closely assess the client for the occurrence
of which of the following complications related to pelvic surgery?
a. Peritonitis.
b. Thrombophlebitis.
c. Ascites.
d. Inguinal hernia.
3. The nurse is assessing the urine of a client who has had an ileal conduit and notes that the
urine is yellow with a moderate amount of mucus.Based on the data, the nurse should?
a. Change the appliance bag.
b. Notify the physician.
c. Obtain a urine specimen for culture.
d. Encourage a high fl uid intake.
4. The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine
collection bag at night. The most important reason for doing this is to prevent:
a. Urine refl ux into the stoma.
b. Appliance separation.
c. Urine leakage.
d. The need to restrict fl uids.
5. The client with an ileal conduit will be using a reusable appliance at home. The nurse should
teach the client to clean the appliance routinely with which product?
a. Baking soda.
b. Soap.
c. Hydrogen peroxide.
d. Alcohol.
6. A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing
severe fl ank pain and nausea; the temperature is 100.6° F (38.1° C). Which of the following
would be a priority outcome for this client?
a. Prevention of urinary tract complications.
b. Alleviation of nausea.
c. Alleviation of pain.
d. Maintenance of fl uid and electrolyte balance.
7. After an intravenous pyelogram (IVP), the nurse should anticipate incorporating
which of the following measures into the client’s plan of care?
a. Maintaining bed rest.
b. Encouraging adequate fl uid intake.
c. Assessing for hematuria.
d. Administering a laxative.
8. In addition to nausea and severe fl ank pain, a female client with renal calculi has pain
in the groin and bladder. The nurse should assess the client further for signs of:
a. Nephritis.
b. Referred pain.
c. Urine retention.
d. Additional stone formation.
9. A client has been admitted with acute renal failure. What should the nurse do?
Select all that apply.
a. Elevate the head of the bed 30 to 45 degrees.
b. Take vital signs.
c. Establish an I.V. access site.
d. Call the admitting physician for orders.
e. Contact the hemodialysis unit.
10. Which of the following is the most common initial manifestation of acute renal failure?
a. Dysuria.
b. Anuria.
c. Hematuria.
d. Oliguria.
11. The client’s serum potassium level is elevated in acute renal failure, and the nurse administers
sodium polystyrene sulfonate (Kayexalate). This drug acts to:
a. Increase potassium excretion from the colon.
b. Release hydrogen ions for sodium ions.
c. Increase calcium absorption in the colon.
d. Exchange sodium for potassium ions in the colon.
12. The nurse teaches the client how to recognize signs and symptoms of infection in the shunt
by telling the client to assess the shunt each day for:
a. Absence of a bruit.
b. Sluggish capillary refi ll time.
c. Coolness of the involved extremity.
d. Swelling at the shunt site.
13. A 24-year-old female client comes to an ambulatory care clinic in moderate distress with a
probable diagnosis of acute cystitis. When obtaining the client’s history, the nurse should ask
the client if she has had:
a. Fever and chills.
b. Frequency and burning on urination.
c. Flank pain and nausea.
d. Hematuria.
14. The nurse explains to the client the importance of drinking large quantities of fl uid to prevent
cystitis. The nurse should tell the client to drink:
a. Twice as much fl uid as usual.
b. At least 1 quart more than usual.
c. A lot of water, juice, and other fl uids throughout the day.
d. At least 3,000 mL of fl uids daily.
15. What is the primary disadvantage of using peritoneal dialysis for long-term management of
chronic renal failure?
a. The danger of hemorrhage is high.
b. It cannot correct severe imbalances.
c. It is a time-consuming method of treatment.
d. The risk of contracting hepatitis is high.
16. During the client’s dialysis, the nurse observes that the solution draining from the abdomen
is consistently blood-tinged. The client has a permanent peritoneal catheter in place. Which
interpretation of this observation would be correct?
a. Bleeding is expected with a permanent peritoneal catheter.
b. Bleeding indicates abdominal blood vessel damage.
c. Bleeding can indicate kidney damage.
d. Bleeding is caused by too-rapid infusion of the dialysate.
17. Which of the following nursing interventions should be included in the client’s plan
of care during dialysis therapy?
a. Limit the client’s visitors.
b. Monitor the client’s blood pressure.
c. Pad the side rails of the bed.
d. Keep the client on nothing-by-mouth (NPO) status.
18. After completion of peritoneal dialysis, the nurse should expect the client to exhibit
which of the following characteristics?
a. Hematuria.
b. Weight loss.
c. Hypertension.
d. Increased urine output.
19. The nurse is instructing the client with chronic renal failure to maintain adequate nutritional
intake. Which of the following diets would be most appropriate?
a. High-carbohydrate, high-protein.
b. High-calcium, high-potassium, high-protein.
c. Low-protein, low-sodium, low-potassium.
d. Low-protein, high-potassium.
20. Aluminum hydroxide gel (Amphojel) is prescribed for the client with chronic renal failure
to take at home. What is the expected outcome of giving this drug?
a. Relieving the pain of gastric hyperacidity.
b. Preventimg Curling’s stress ulcers.
c. Binding phosphate in the intestine.
d. Reversing metabolic acidosis.
21. The nurse explains to the client the importance of drinking large quantities of fluid to prevent
cystitis. The nurse should tell the client to drink:
a. Twice as much fluid as usual.
b. At least 1 quart more than usual.
c. A lot of water, juice, and other fluids throughout the day.
d. At least 3,000 mL of fluids daily.
Answers and Rationals
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