The nurse is preparing a client with renal difficulties for a ...

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The nurse is preparing a client with renal difficulties for a renal scan. The nurse should teach the client that:
 
  1. the client will experience pain.
  2. the client will need to sign an informed consent.
  3. the client will be expected to void an hour prior to the test.
  4. the client will be placed on a special diet for 1 week prior to the test.

Question 2

The nurse is caring for an older client with a decreased number of functional nephrons. What effects on the renal system should the nurse expect to assess in this client? (Select all that apply.)
 
  1. Increased risk of dehydration
  2. Increased risk of kidney failure
  3. Decreased number of white blood cells
  4. Increased risk for acid-base imbalances
  5. Decreased ability to conserve water and sodium

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Answer to Question 1

Answer: 2

1. The client is expected to lie still during the scan and could experience discomfort because the position cannot be changed. No pain is otherwise expected.
2. A renal scan requires an informed consent.
3. The scan is performed within 15 minutes of voiding by the client.
4. There are no special diet requirements before or after the scan.

Answer to Question 2

Answer: 1, 2, 4, 5

1. A decrease in nephrons increases the risk for dehydration.
2. A decrease in nephrons increases the risk for kidney failure.
3. A decrease in nephrons does not affect white blood cells.
4. A decrease in nephrons increases the risk for acid-base imbalances.
5. A decrease in nephrons decreases the ability to conserve water and sodium.