Blog

A client with severe back pain and hematuria is found to have hydronephrosis due to urolithiasis. The nurse anticipates which treatments will be done to relieve the obstruction?

Which of the following is an intrarenal cause of acute kidney injury?

Your client undergoes a transurethral resection of the prostate (TURP). In the recovery room he has a continuous bladder irrigation (CBI) of normal saline in progress. What is the purpose of CBI?

The nurse finds a container with the client’s urine specimen sitting on a counter in the bathroom. The client states that the specimen has been sitting in the bathroom for at least 2 hours. What action by the nurse is most appropriate?

A 45-year-old male comes to ED complaining of severe flank pain x 5 days.   Nurse’s Note:  DOB: 06/02/19XX   0645:  45-year-old male c/o nausea/vomiting and severe flank pain that radiates into his groin for the last 5 days.  Patient states pain is not constant but comes in waves like he is being stabbed with a knife. He states his dad had an attack like this last year and had to have surgery. He has been working outdoors in high heat and humidity the last week doing construction. Past medical history includes hyperparathyroidism, HTN, DM, obesity, Vitamin D deficiency.   Physical Assessment findings A&O X4, skin hot and dry with dry mucous membranes, patient sitting in chair holding his side with facial grimace and intermittent moaning. Tenting noted to skin. He is holding a kidney basin with 50 ml of green emesis.  Considering this patient’s clinical manifestations what orders should we anticipate? Select all that apply.   

A dialysis client has a high phosphorous level. Which dietary recall statement most likely explains the elevated phosphorous?

Nurse’s Note:  DOB: 06/02/19XX   0645:  45-year-old male c/o nausea/vomiting and severe flank pain that radiates into his groin for the last 5 days.  Patient states pain is not constant but comes in waves like he is being stabbed with a knife. He states his dad had an attack like this last year and had to have surgery. He has been working outdoors in high heat and humidity the last week doing construction. Past medical history includes hyperparathyroidism, HTN, DM, obesity, Vitamin D deficiency.   Physical Assessment findings A&O X4, skin hot and dry with dry mucous membranes, patient sitting in chair holding his side with facial grimace and intermittent moaning. Tenting noted to skin. He is holding a kidney basin with 50 ml of green emesis.  Nurse’s Note:  0730:  Patient reports increased frequency with urination. V.S. 101.2, 95 bpm, 20 RR, 162/84, O2 saturation 98% on RA. Patient has voided 150 ml. of dark amber urine.  A urinalysis was ordered. The urinalysis confirmed the sample was positive for blood, nitrates and leucocyte esterase. The patient is admitted with a diagnosis of Renal Calculi, r/o Urinary tract infection.    0800  The patient has been admitted to your unit with the following Orders:   NPO  Place 20g IV  I&O  Activity as tolerated  IV 0.9 NS at 125 ml/hr  Urinalysis  Blood Chemistries   IV Morphine 2mg IV Q4hrs for pain  Non-contrast CT scan  Strain all urine  Sulfamethoxazole/Timethoprim 250mg IV q6 hours  Nurse’s Note  0935:  Upon entering the patient’s room, this RN found patient doubled over in pain and guarding his abdomen. Patient rates pain 10/10. Upon assessment, patient is diaphoretic with vital signs as follows: 102.4, 125 bpm, 32 RR, 98/62, O2 saturation 95% on RA. Patient continues to c/o nausea.  CT Scan:  Obstructing stone located in patient’s ureter measuring 6mm.  Nurse’s Note  1000:  Physician notified of patient’s condition. New orders received: bolus of IV 0.9% NS, PR Acetaminophen, IV Zofran, IV pain medication and repeat non-contrast CT. Physician ordered for urology consult. Phone called placed to on-call physician, provider aware. Patient awaiting urologist arrival to the floor.   What assessment findings do we need to complete in order to determine the effectiveness of the physician’s orders?  Select all that apply.

A client has lower flank pain due to possible renal calculi. On completion of an ultrasound of the kidneys and ureters, what is the priority nursing intervention?

Nurse’s Note:  DOB: 06/02/19XX   0645:  45-year-old male c/o nausea/vomiting and severe flank pain that radiates into his groin for the last 5 days.  Patient states pain is not constant but comes in waves like he is being stabbed with a knife. He states his dad had an attack like this last year and had to have surgery. He has been working outdoors in high heat and humidity the last week doing construction. Past medical history includes hyperparathyroidism, HTN, DM, obesity, Vitamin D deficiency.   Physical Assessment findings A&O X4, skin hot and dry with dry mucous membranes, patient sitting in chair holding his side with facial grimace and intermittent moaning. Tenting noted to skin. He is holding a kidney basin with 50 ml of green emesis.  Nurse’s Note:  0730:  Patient reports increased frequency with urination. V.S. 101.2, 95 bpm, 20 RR, 162/84, O2 saturation 98% on RA. Patient has voided 150 ml. of dark amber urine.  A urinalysis was ordered. The urinalysis confirmed the sample was positive for blood, nitrates and leucocyte esterase. The patient is admitted with a diagnosis of Renal Calculi, r/o Urinary tract infection.    Which of the following 3 assessments from the patient’s medical record require immediate follow-up? Select all that apply. 

Which duties can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply.