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34. A nurse is educating a client with newly diagnosed autosomal dominant polycystic kidney disease (ADPKD) who is starting tolvaptan (Jynarque). The nurse explains that tolvaptan inhibits vasopressin and helps to slow the progression of kidney cyst growth. Which of the following factors should be reported to the healthcare provider before initiation of the medication?

18. After an arteriovenous graft is inserted in a patient’s right forearm, the patient reports pain and coldness in the right fingers. Which action would the nurse take?

22. A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, “Why can’t I just take the antacid magaldrate (Mylanta) my husband has at home?” The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

37. A patient with a uretero-lithotomy procedure returns from surgery with a nephrostomy tube in place.  Postoperative nursing care includes:

39. The nurse is caring for several clients on the medical-surgical unit and performing shift assessments.  The nurse understands which assessment findings correlate with each condition.  Match the following with the appropriate condition. 

25. A 76-year-old female patient with a history of renal impairment is diagnosed with a urinary tract infection (UTI) and prescribed nitrofurantoin. The nurse is reviewing the patient’s medical record and notices that her most recent creatinine clearance is significantly lower than normal.  Which of the following actions should the nurse prioritize?

29. A nurse is preparing to apply a condom catheter to a male patient. Which of the following actions is most important for the nurse to take before applying the condom catheter?

36. A nurse is teaching a client about peritoneal dialysis (PD) and the two types of dialysis available: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). The nurse provides information on the advantages and disadvantages of each type. Which of the following client statements indicates the need for further teaching regarding peritoneal dialysis?

15.  Which of the following nursing actions would be most helpful in decreasing the risk for urinary HAI in patients admitted to the hospital?

1. The nurse is caring for a client with the diagnosis of pyelonephritis.  Which of the following techniques is used by the nurse to determine flank tenderness?