A client receiving hemodialysis treatments arrives at the hospital with a blood pressure of 200/100 mm Hg, a heart rate of 110 beats/minute, and a respiratory rate of 36 breaths/minute. Oxygen saturation on room air is 89%. He complains of shortness of breath, and plus 2 pedal edema is noted. His last hemodialysis treatment was yesterday. Which intervention should be done first?

The nurse is caring for a client who has a nephrostomy tube.  Which nursing action takes priority?  

After change-of-shift report, which patient would the nurse assess first?

The nurse is planning care for a client with acute glomerulonephritis. Which actions should the nurse plan for the client? (Select all that apply)

A client with diabetic nephropathy, who’s being treated with hemodialysis, reports having frequent hypoglycemic episodes and states “My doctor reduced my insulin, which means my diabetes is improving.”  What is the nurse’s best response?

The intensive care nurse is caring for the kidney transplant patient who was just transferred from the recovery unit.  Which finding is the most serious and warrants immediate notification of the transplant surgeon?

A 25-year-old Caucasian female was recently diagnosed with an uncomplicated UTI after intercourse with her boyfriend. She has been complaining of dysuria. Which medications are most likely to be prescribed? 

A client has a history of chronic renal failure and receives hemodialysis treatments three times a week through an arteriovenous (AV) fistula in the left arm. What is the most important intervention for the nurse to provide?

Which action by a 70-year-old client who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what conditions? (Select all that apply.)