21. Which of the following should the nurse include in the nursing care plan of the client who is diagnosed to have renal failure, whose BUN is 32 mg/dl, serum creatinine is 4 mg/dl, hematocrit is 38%. He is complaining of fatigue and edema.
a) low protein diet and fluid restriction
b) high protein diet and fluid restriction
c) low protein diet and increase in fiber
d) high protein diet and potassium restriction
22. The client in end-stage of renal failure had undergone kidney transplant. Which of the following assessment findings indicate kidney transplant rejection?
a) increased urinary output, BUN = 15 mg/dL
b) HCT = 50%, Hgb = 17 g/dl
c) decreased urinary output, sudden weight gain
d) decreased urinary output, sudden weight loss
23. Which of the following assessment findings indicates that pyridium is effective in a client with urinary tract infection?
a) the client's urine culture yields negative result
b) the client is able to void every 2 to 3 hours
c) the client verbalizes that she is relieved from pain
d) the client is able to void 30-60 ml/hour
24. Which of the following anti-hypertensive medications is contraindicated for clients with renal insufficiency?
a) beta-adrenergic blockers
b) calcium-channel blockers
c) direct-acting vasodilators
d) angiotensin-converting enzyme inhibitors
25. The client has been diagnosed to have glomerulonephritis. What should the nurse observe in the urine?
a) blood
b) pus
c) white blood cells
d) glucose
ANSWERS AND RATIONALE
21) A
- the diet for a client with elevated BUN and serum creatine should be low protein, to reduce urea and nitrogenous waste products. For edema, fluid restriction should be implemented.
22) C
- kidney transplant rejection is manifested by failure of renal functions like decreased urinary output and water retention, as manifested by weight gain.
23) C
- pyridium is a urinary analgesic. It will normally cause red-orange discoloration of the urine.
24) D
- ACE inhibitors may cause hyperkalemia. It should be used with great caution if it is prescribed for a client with renal insufficiency.
25) A
- glomerulonephritis causes gross hematuria. The urine appears dark, smoky, cola-colored, or red-brown.
Related Topics:
- Online Nursing Practice Test about Renal Disorders (26-30)
- Go back to Online Nursing Practice Test about Renal Disorders (1-7) to start the test from the beginning.
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