Renal System NCLEX Questions (1-5)

Welcome to Renal System NCLEX Questions. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :

Complete NCLEX Study Materials

Enjoy answering and I hope that Philippines Nursing Board can somehow help you in your future examination. Good Luck

1. A nurse has reinforced discharge instructions regarding home care to a client following a prostatectomy for cancer of the prostate. which statement by the client indicates an understanding of the instructions?

a) I cannot lift anything heavier than 20 pounds
b) to prevent dribbling of urine, I need to limit my fluid intake to four glasses daily
c) if I see any clots in my urine, I need to call the physician immediately
d) I can begin to drive my car in 1 week

2. A nurse is providing discharge instructions to a client following a hydrocelectomy. Which statement by the client indicates a need for further instructions?

a)  I should apply ice packs to the scrotum
b) I should keep the scrotum elevated until the swelling has gone away
c) I need to restrict my fluid intake
d) I need to avoid sexual intercourse at this time

3. Renal System NCLEX Questions about a nurse who is providing dietary instructions to a client with renal calculi who has calculus that is composed of uric acid. Which dietary instruction would the nurse provide to the client?

a)  organ meat foods can be included in the diet
b) seafood is allowed in the diet
c) intake of legumes should be increased
d) intake of cranberries and citrus fruits should be increased

4. Probenecid (Benemid) is prescribed for the client for the treatment of gout, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client indicates a need for further instructions?

a) I need to avoid alcohol because it will increase my uric acid levels
b) I need to avoid any medication that contains aspirin
c) I need to increase my fluid intake to maintain adequate urine output
d) I need to take the medication on an empty stomach

5. A nurse is providing information to a client who has begun peritoneal dialysis about the signs of peritonitis. The nurse instructs the client to report which finding to the physician if noted?

a) cloudy dialysate output
b) increased abdominal girth
c) temperature of 98.6F
d) heartburn

Renal System NCLEX Questions
Answers and Rationale

1) A
- The client should be instructed to avoid lifting objects heavier than 20 pounds for at least 6 weeks. Small pieces of tissue or blood clots can be passed during urination for up to 2 weeks after surgery and, if noticed, does not indicate a need to notify the physician. Driving a car and sitting for long periods of time are restricted for at least 3 weeks. A fluid intake of at least 2 to 2.5 L per day should be maintained to limit clot formation and prevent infection.

2) C
- A hydrocele is an abnormal collection of fluid within the layers of the tunica vaginalis that surrounds the testis. It may be unilateral or bilateral and can occur in an infant or adult. Hydrocelectomy is the excision of the fluid-filled sac in the tunica vaginalis. Increased fluid intake is encouraged. The other client statements are correct.

3) C
- Renal System NCLEX Questions Rationale: Dietary instructions to the client with a uric acid–type of stone include increasing legumes, green vegetables, and fruits (except prunes, grapes, cranberries, and citrus fruits) to increase the alkalinity of the urine. The client should also decrease foods high in purines, such as organ meats, gravies, red wines, goose, venison, and seafood.

4) D
- Probenecid is a uricosuric medication. The client should be instructed to avoid alcohol and to avoid medications that contain aspirin because they increase the urate levels. Increased fluid intake is encouraged to maintain an adequate urine output and prevent stone development, hematuria, and renal colic. The client is instructed to take the medication with milk or meals to prevent gastric distress.

5) A
- Typical symptoms of peritonitis include fever, nausea, malaise, rebound abdominal tenderness, and cloudy dialysate output. The client does not need to measure abdominal girth, so this option is incorrect. A temperature elevation of 98.6° F is normal. The complaint of heartburn is too vague to be correct.

After you reviewed your answers through its rationale, you can now proceed to the next set of questions:

Renal System NCLEX Questions (6-10)

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