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The nurse advises genetic counselling for the children of which of the following patients A patient with horseshoe kidney A patient with interstitial cystitis A patient with polycystic kidney disease A patient with Goodpasture syndrome A patient with CKD is started on hemodialysis, and after the first treatment, the patient complains of nausea and a headache. The nurse notes mild jerking and twitching of the patient’s extremities. The nurse will anticipate the need to do which of the following? Switch to continuous renal replacement therapy to improve dialysis efficiency Administer medications to control these symptoms before the next dialysis Increase the time for the next dialysis to remove wastes more completely Slow the rate for the next dialysis to decrease the speed of solute removal The nurse is admitting a client with acute glomerulonephritis. Which of the following assessments is most important for the nurse to include? Frequency of bladder infections Recent sore throat and fever Family history of kidney stones History of high blood pressure A patient with a confirmed renal calculus in the proximal left ureter undergoes extracorporeal shock wave lithotripsy, which successfully shatters the stone. After the lithotripsy, the nurse encourages fluids to 3000 mL/day and knows that the interventions for the patient have been effective based on which of the following findings? Adequate fluid balance is maintained The patient verbalizes a decrease in pain Free flow of urine is present There is no indication of UTI. The nurse is preparing a client for an intravenous pyelogram (IVP) and obtains the following information. Which of these has the most immediate implications for the client’s care? The client describes allergies to shellfish and penicillin The client used a bisacodyl tablet the previous night. The client complains of costovertebral angle (CVA) tenderness The client has not had anything to eat or drink for 8 hours. For which of the following purposes does the nurse use auscultation during assessment of the urinary system? Assess for bladder distention Determine the position of the kidneys Check for ureteral peristalsis Identify renal artery or aortic bruits The nurse is assessing a client’s urinary system and is unable to palpate either kidney. Which of the following actions should the nurse take next? Ask the health care provider about scheduling a renal ultrasound Ask the client about any history of recent sore throat Obtain a urine specimen to check for hematuria Document the information on the assessment form. The nurse is caring for a client with benign prostatic hyperplasia who has chills, fever, and is vomiting. Which of the following findings by the nurse is most helpful in determining whether the client has an upper urinary tract infection (UTI)? Costovertebral tenderness Suprapubic pain Bladder distension Foul-smelling urine Which condition is associated with the oversecretion of renin? Alzheimer’s . disease Diabetes mellitus Diabetes insipidus Hypertension The nurse is caring for a client who is diagnosed with nephrotic syndrome and has 3+ ankle and leg edema with ascites. Which of the following nursing diagnoses is a priority for the client? Excess fluid volume related to low-serum protein levels Disturbed body image related to peripheral edema and ascites Activity intolerance related to increased weight and fatigue Altered nutrition: less than required related to protein restriction

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