Assessment
What is the average urine output of a healthy adult for a 24 hour period?
1500-2000 ml per day
A patient is diagnosed with urethral stricture. What is the priority assessment?
Monitor urinary output
The nurse is assessing a patient with possible acute glomerulonephritis. During the inspection of the hands, face, and eyelids, what is the nurse primarily observing for?
Edema
For a patient with acute kidney injury, the nurse would consider questioning the order for which diagnostic test?
CT with contrast dye
A patient with chronic kidney disease has a potassium level of 8 mEq/L. The nurse notifies the health care provider after assessing for which sign/symptom?
Cardiac dysrhythmias
Which renal change associated with aging does the nurse expect an older adult patient to report?
Nocturia
A patient reports the loss of small amounts of urine during coughing, sneezing, jogging, or lifting. Which type of incontinence is the patient describing?
Stress
Why may a patient with polycystic kidney disease (PKD) experience constipation?
Polycystic kidneys enlarge and put pressure on the large intestine
Which combination of drugs is the most nephrotoxic?
Aminoglycoside antibiotics and NSAIDS
2 liters of fluid
A patient with chronic kidney disease develops anorexia, nausea and vomiting, muscle cramping, and pruritus. How does the nurse interpret these findings as?
Uremia
The nurse is caring for a patient with urolithiasis. Which type of medication is likely to be given in the acute phase to relieve the patient's severe pain?
Opioid analgesics
A patient with PKD reports sharp flank pain followed by blood in the urine. How does the nurse interpret these signs/symptoms?
Rupturing of a cyst
What disorder could be a complication from acute kidney injury?
Heart failure
The nurse is assessing the skin of a patient with end-stage kidney disease. Which clinical manifestation is considered a sign of very late, premorbid, advanced uremic syndrome?
Uremic frost
A patient has undergone a kidney biopsy. What is the priority post procedural assessment?
Check for hemorrhage
A patient returns to the medical-surgical unit after having shock wave lithotripsy. What is an appropriate nursing intervention for the postprocedural care of this patient?
Strain the urine to monitor for the passage of stone fragments
A patient has a nephrostomy and a nephrostomy tube is in place. What is included in the postoperative care of this patient?
Assessing the amount of drainage in the collection bag
The nurse is caring for a patient with acute kidney injury who does not have signs/symptoms of fluid overload. Which intervention would be most effective as a fluid challenge to promote kidney perfusion?
Administer normal saline 500-1000 ml infused over 1 hour
The nurse is teaching a patient about performing peritoneal dialysis (PD) at home. In order to identify the earliest manifestation of peritonitis, what does the nurse instruct the patient to do?
Check the effluent (drainage) for cloudiness
When patients have problems with the kidneys or urinary tract, what is the most common symptom that prompts them to seek medical attention?
Pain in the flank or abdomen or pain when urinating
Which patient has the highest risk for bladder cancer?
A person who smokes or a person who is exposed to toxins/chemicals
After a nephrectomy, one adrenal gland remains. Based on this knowledge, which type of medication replacement therapy does the nurse expect if the remaining adrenal gland function is insufficient?
Steroid
When a patient is in the diuretic phase of acute kidney injury, the nurse is mainly concerned about implementing which interventions?
Monitoring for hypovolemia and electrolyte loss
The nurse is caring for the kidney transplant patient in the immediate postoperative period. During this initial period, the nurse will assess the urine output at least every hour for how many hours?
The first 48 hours