A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Urine output of 175 ml in the past 8 hrs

Urine output of 2,200 ml in the past 24 hr

Urine is cloudy after sitting in the urinal for 6 hr

First-voided urine in the morning has a strong odor

Answer and Explanation

The Correct Answer is A

A.   A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B.   This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C.   Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D.   While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is C

Explanation

A. Almonds are high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. Therefore, almonds should be avoided or consumed in moderation by individuals with this condition.
B. Sweet potatoes contain moderate levels of oxalates, which may increase the risk of calcium oxalate kidney stones if consumed in large amounts. It is advisable for individuals with this condition to limit their intake of sweet potatoes.
C. Bananas are low in oxalates, making them a suitable choice for individuals with calcium oxalate kidney stones. Including bananas in the diet can help reduce the risk of stone formation.
D. Soy milk may contain moderate to high levels of oxalates, depending on processing methods. It is recommended to choose low-oxalate alternatives for individuals prone to calcium oxalate kidney stones.

A. Weight loss B. Insomnia C. Temperature 36.1°C (97.0° F) D. Oliguria

Correct Answer is D

Explanation

A. Weight loss is not typically a manifestation of organ rejection post kidney transplant.

B. Insomnia is not typically associated with organ rejection post kidney transplant.

C. Normal body temperature does not indicate organ rejection post kidney transplant.

D. Oliguria or decreased urine output can be a sign of organ rejection post kidney transplant due to decreased renal perfusion.

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A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to client who has calcium oxalate kidney stones. Which of the following statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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