The nurse is assessing a client who reports painful urination during and after voiding. The nurse suspects the client may have a problem with which area of the client’s urinary system?

Before a renal biopsy, which information is most important to tell the physician?

A client is injected with radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?

A client with an overactive neurogenic bladder is complaining of a dry mouth from his medication oxybutynin (Ditropan). The nurse is aware that this adverse effect is commonly found with which of the flowing drug classifications?

The nurse is caring for a client with urine retention. The physician has ordered the client to be catheterized. Which of the following catheters would be the most appropriate for the nurse to select to perform the procedure?

Which nursing intervention would be the most appropriate for a client with postoperative urinary retention?

A client is ordered diuretics. Which of the following would be the best time of day for the nurse to schedule this medication?

The nurse is obtaining a health history on a client. Which statement made by the client indicates a risk of renal calculi?

A client has a history of chronic renal failure and receives hemodialysis treatments three times a week through an arteriovenous (AV) fistula in the left arm. What is the most important intervention for the nurse to provide?

A client has returned from surgery with continuous bladder irrigation. The nurse is aware that proper maintenance of a continuous bladder irrigation system includes:

A client had a transurethral prostatectomy for benign prostatic hypertrophy and is currently being treated with a continuous bladder irrigation. He’s complaining of an increase in severity of bladder spasms. Which intervention should the nurse do first?

A client with renal insufficiency is admitted with a diagnosis of pneumonia. He’s being treated with I.V. antibiotics, which can be nephrotoxic. Which laboratory value(s) should be monitored closely?

A client has just received a renal transplant and has started cyclosporine therapy to prevent graft rejection. What is the most important information for the nurse to tell the client?

A client is to undergo a kidney transplantation with a living donor. What is the most important preoperative assessment by the nurse?

A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which nursing intervention would be most appropriate?

A client is diagnosed with chronic renal failure and is told he must start hemodialysis. What is the most important client teaching for the nurse to provide?

A client with chronic pyelonephritis is preparing to be discharged from the hospital. What is the most important information for the nurse to tell the client?

A client received a kidney transplant 2 months ago. He’s admitted to the hospital with the diagnosis of acute rejection. Which assessment finding should the nurse anticipate?

A client is admitted with a diagnosis of hydronephrosis secondary to calculi. The calculi have been removed, and postobstructive diuresis is occurring. What is the most important intervention by the nurse?

A client has not voided 10 hours following an inguinal hernia repair. The nurse determines that the nursing diagnosis for this client would be urinary retention related to which of the following?

A client is admitted with severe nausea, vomiting, and diarrhea. He is hypotensive and is noted to have severe oliguria with elevated blood urea nitrogen (BUN) and creatinine levels. The nurse anticipates the physician will most likely write an order for which treatment?

A client who underwent a cystoscopy is scheduled to be discharged to home within 24 hours. What is the most important information for the nurse to give the client?

A client with a history of chronic renal failure is admitted to the unit with pulmonary edema after missing his dialysis treatment yesterday. His laboratory result levels are serum potassium 6.0 mEq/L, serum sodium 130 mEq/L, and serum bicarbonate 18 mEq/L. The nurse interprets that the client has which of the following conditions?

A client with acute renal failure has a serum potassium level of 7.0 mEq/L. The nurse’s priority for this client is to assess which of the following?

A 75-year-old client is admitted with dehydration. The client’s laboratory results are serum sodium 145 mg/dl, serum potassium 5.0 mEq/L, blood urea nitrogen 29 mg/dl, and serum creatinine 1.3 mg/dl. Based on these results, the nurse determines that the client is at risk for developing which of the following conditions?

An 80-year-old male client reports urine retention. Which factor may contribute to this client’s problem?

An 80-year-old man is admitted for a cystoscopy with biopsy of the bladder. After obtaining a history, surgery is postponed. Which reason would be the cause to postpone this client’s surgery?

Kegel exercises are used to gain control of bladder function in women with stress incontinence and in some men after prostate surgery. Which instruction would help the client perform these exercises?

A client receiving hemodialysis treatments arrives at the hospital with a blood pressure of 200/100 mm Hg, a heart rate of 110 beats/minute, and a respiratory rate of 36 breaths/minute. Oxygen saturation on room air is 89%. He complains of shortness of breath, and plus 2 pedal edema is noted. His last hemodialysis treatment was yesterday. Which intervention should be done first?

A client is undergoing peritoneal dialysis. The dialysate dwell time is completed, and the clamp is opened to allow the dialysate to drain. The nurse notes that drainage has stopped and that only 500 ml has drained; the amount of dialysate instilled was 1,500 ml. Which intervention should be done first?