Exam 4 NCLEX Style Questions

Exam 4 NCLEX Style Questions Leave the first rating Terms in this set (112) Science MedicineNursing Save

• "The procedure determines

whether a kidney stone is present." (A KUB can identify renal calculi, strictures, calcium deposits, or obstructions.) A nurse is providing teaching to a client who is to have an x-ray of the kidneys, ureters, and bladders (KUB). Which of the following statements should the nurse include in the teaching?

• "Contrast dye is given during the procedure."
• "An enema is necessary before the procedure."
• "You will need to lie in a prone position during

the procedure."

• "The procedure determines whether a kidney

stone is present."

• Hemorrhage

(Hemorrage is the most immediate client risk following a kidney biopsy if clotting does not occur at the puncture site.) A nurse is monitoring for post operative complications in a client who had a kidney biopsy.Which of the following complications causes the most immediate risk to the client?

• Infection
• Hemorrhage
• Hematuria
• Kidney failure

• Obtain a clean-catch urine

specimen for culture and sensitivity.(Obtaining a clean-catch urine specimen for culture and sensitivity is an appropriate nursing action because this determines the antibiotic that will be most effective for treatment of the urinary tract infection.) A nurse is reviewing a client's laboratory findings for urinalysis. The findings indicate the urine is positive for leukoesterase and nitrites. Which of the following is an appropriate nursing action?

• Repeat the test early the next morning.
• Start a 24-hr urine collection for creatinine

clearance.

• Obtain a clean-catch urine specimen for culture

and sensitivity.

• Insert a urinary catheter to collect a urine

sample.

• Identify client allergy to

seafood

• Hold metformin (Glucophage)

for 24 hr

• Administer an enema
• Assess client for history of

asthma (The client who has an allergy to seafood is at higher risk for an allergic reaction to the contrast dye used in the procedure; The client who takes metformin is at risk for lactic acidosis from the contrast dye with iodine used during the procedure; The client should receive an enema to remove fecal contents, fluid, and gas from the colon for a more clear visualization; A client who has a history of asthma has a higher risk for having an asthma attach as an allergic response to the contrast dye used during the procedure.) A nurse is caring for a client who has type 2 diabetes mellitus and is to undergo excretory urography. Which of the following are appropriate nursing actions prior to this procedure? (Select all that apply)

• Identify client allergy to seafood
• Hold metformin (Glucophage) for 24 hr
• Administer an enema
• Obtain a client's serum coagulation profile
• Assess client for history of asthma

• Monitor for orthostatic

hypotension (The appropriate action by the nurse is to monitor for orthostatic hypotension because the antihypertensive effect of captopril results in a change in blood flow to the kidneys when an initial dose is administered.) A nurse is administering captopril (Capoten) to a client during renography (kidney scan). Which of the following is an appropriate action by the nurse?

• Assess the client for hypertension
• Limit the client's fluid intake
• Monitor for orthostatic hypotension
• Encourage early ambulation
• Hemodialysis returns a balance

to serum electrolytes (Hemodialysis returns a balance to serum electrolytes by removing excess sodium, potassium, fluids, and waste products; and restores acid-base balance) A nurse is providing teaching to a client who has chronic kidney disease and is to start hemodialysis.Which of the following information should the nurse include in the teaching?

• Hemodialysis restores renal function
• Hemodialysis replaces hormonal function of the

renal system

• Hemodialysis allows an unrestricted diet
• Hemodialysis returns a balance to serum

electrolytes