Case Study: Questions 48-50 Mrs. Smith, a 57-year-old scheduled to have a kidney biopsy to determine the cause of her frequent episodes of hematuria.  She has had numerous other diagnostic studies done that remain inconclusive.  She is very concerned of the biopsy risks and is fearful of the results. Question 48: Which of the following will the nurse prioritize as part of Mrs. Smith’s pre-operative checklist?

The client has been prescribed kayexalate 15mg TID.  What is a priority nursing intervention prior to administration?

The client with Chronic Kidney Disease was admitted for shortness of breath, fatigue, and a respiratory rate = 30 breaths/min.  An ABG was ordered and the results are: pH 7.30m CO2 34, HCO3 19.  The nurse would interpret the ABG as? _______

The nurse is providing care for the client post-motor-vehicle accident with a suspected renal injury.  Which order should the nurse anticipate being ordered?

The nurse is assessing the client admitted with renal calculi.  Which of the following admission data should the nurse prioritize?  Select all that apply.

The nurse is caring for the client who is scheduled for a renal CT scan with contrast later in the shift.  Which of the following actions should the nurse anticipate completing? Select all that apply.

Case Study: Questions 48-50 Mrs. Smith, a 57-year-old is scheduled to have a kidney biopsy to determine the cause of her frequent episodes of hematuria.  She has had numerous other diagnostic studies done that remain inconclusive.  She is very concerned of the biopsy risks and is fearful of the results. Question 49: Which lab result will the nurse understand to be the priority to be completed pre-operatively to prevent post-operative complications?

The nurse is completing a peritoneal dialysis exchange on the client and notes the following drainage in the return. What complication does the nurse suspect is occurring? _______ What is the priority action at this time? _______

Case Study: Questions 48-50 Mrs. Smith, a 57-year-old scheduled to have a kidney biopsy to determine the cause of her frequent episodes of hematuria.  She has had numerous other diagnostic studies done that remain inconclusive.  She is very concerned of the biopsy risks and is fearful of the results. Question 50: Mrs. Smith has returned to the medical-surgical unit post biopsy.  The procedure room nurse gives the bedside nurse report that includes the following; BP 112/80, HR 72 bpm, RR 14, Temperature 37.1C (98.7 F), bedrest for 6 hours and she can resume her regular diet as tolerated.  The nurse proceeds to assess Mrs. Smith after report and would report which findings immediately to the provider if found? Select all that apply

A 55-year-old woman is admitted to the surgical unit with a diagnosis of bladder cancer. She is scheduled for a radical cystectomy and an ileal conduit. Which of the following is a priority post-op action that the nurse would include in the plan of care?