Practice Question
A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?
Answer Choices:
Correct Answer:
Place the client on a low-protein diet.
Rationale:
Acute post-streptococcal glomerulonephritis (APSGN) causes inflammation and reduced kidney function, requiring dietary protein restriction to prevent further kidney damage. Increased fluids are not advised in clients with oliguria (low urine output), as it can worsen fluid overload.
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This question is from RN ATI MedSurgical Quiz 6 which contains 31 questions.
More Questions from This Exam
A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?
Answer Choices:
A. Insulin and sodium bicarbonate
B. Calcium gluconate
C. Patiromer (Veltassa)
D. Lisinopril
The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?
Answer Choices:
A. You will need to eat a high-potassium and high-protein diet
B. You may end up needing dialysis as the disease progresses.
C. You will need to undergo a vasectomy because people with this condition should not have children.
D. People with this genetic condition are not candidates for kidney transplant
The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?
Answer Choices:
A. You will need to eat a high-potassium and high-protein diet
B. You may end up needing dialysis as the disease progresses.
C. You will need to undergo a vasectomy because people with this condition should not have children.
D. People with this genetic condition are not candidates for kidney transplant
A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis.Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?
Answer Choices:
A. Comparing the client's current weight to the last post-dialysis weight
B. Measuring the client's current creatinine and BUN levels.
C. Assessing the client's skin turgor and peripheral edema.
D. Auscultating the client's lung sounds for crackles.
A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?
Answer Choices:
A. Calcium gluconate
B. Antibiotics
C. Tamsulosin
D. Phosphate binders
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4