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

The intensive care unit nurse is explaining the procedure for continuous renal replacement therapy (CRRT) to a client with acute renal failure. Which statement best describes how the nurse should tell the client how CRRT will be initiated?

When a client with nephrotic syndrome manifests anasarca, the nurse relates this assessment finding to which abnormally low laboratory value?

When providing discharge teaching for a client with uric acid calculi, the nurse should include an instruction to avoid which type of food?

After radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. He then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first?

Which medication is most likely to be prescribed for a client with gonorrhea?

When teaching a client how to prevent recurrences of acute glomerulonephritis, which instruction should the nurse include?

A client presents with a possible urinary tract infection. Which urine characteristic should the nurse assess first?

Which client is at greatest risk for developing acute renal failure?

The nurse is caring for a client who is receiving hemodialysis treatments. Which of the following interventions would be the most appropriate for this client?

A client has passed a renal calculus. The nurse sends the specimen to the laboratory so it can be analyzed for:

Which symptom may indicate acute rejection of a transplanted kidney?

A client has been placed on prednisone therapy. The client asks the nurse if any adverse reactions can occur when taking the medication. What is the most appropriate response by the nurse?

Steroids, such as prednisone and methylprednisolone, are used to suppress the inflammatory immune response following a kidney transplant. Which information should be given to a client with a transplant?

A client with bladder cancer has had his bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude?

A client is diagnosed with prostate cancer. The physician is most likely to order which test to monitor the client’s progress?

When teaching a client about cystitis, a nurse explains that females are more prone to the disorder than males. Which factor explains a female’s increased susceptibility?

A nurse suspects that a client with polyuria is experiencing water diuresis. The nurse assesses the laboratory values for which of the following?

In a client with renal failure, which assessment finding may indicate hypocalcemia?

Which nursing intervention should be done for a client with urinary calculus?

A 27-year-old client, who became paraplegic after a swimming accident, is experiencing autonomic dysreflexia. Which condition is the most common cause of autonomic dysreflexia?

The radiology nurse is reviewing a list of home medications of a 53- year-old client who is scheduled for an outpatient I.V. pyelogram (IVP) at 10:00 a.m. The client took the following medications at home with sips of water at 8:00 a.m. Which of the medications would prompt the nurse to contact the physician?

A 70-year-old male client is diagnosed with syphilis in the secondary stage. Which finding should the nurse expect during assessment?

A 72-year-old male tells the nurse he has been taking saw palmetto by mouth twice a day for the past 3 years as treatment for urinary hesitancy due to an enlarged prostate. What should the nurse assesses the client for?

The nurse is reviewing admission orders for a 78-year-old client with a pneumonia diagnosis. The client has no known drug allergies, and the client’s serum labs are as follows: white blood cells (WBC) 15.2 K/ml, hemoglobin 11.2 g/dl, blood urea nitrogen (BUN) 29 mg/dl, and creatinine 2.8 mg/dl. The nurse should contact the physician to question which of the following orders?

A 78-year-old African-American male who is alert and oriented has been receiving hemodialysis three times per week for the last 5 years. The client’s condition has gradually declined and he tells the dialysis nurse, “I do not want to do this anymore. I am tired and ready to let my body shut down. I know I will die, but I am ready.” What is the most appropriate response by the nurse?

A client diagnosed with acute renal failure voided 260 ml of urine on Tuesday. What is the maximum amount of fluid the client may consume orally on Wednesday?

The nurse is reviewing the urinalysis results on four different adult clients. Which client would the nurse anticipate to receive an I.V. fluid bolus?