Nokea
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?
- A. Review stress factors that can cause disease exacerbation.
- B. Evaluate fluid and electrolyte levels.
- C. Promote physical mobility.
- D. Provide emotional support.
Correct Answer: B
Rationale: Evaluating fluid and electrolyte levels is the priority due to significant fluid loss and electrolyte imbalances during an acute exacerbation of ulcerative colitis.
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A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?
- A. Phenazopyridine hydrochloride turns the urine purple.
- B. Administer phenazopyridine hydrochloride before meals.
- C. Yellowing of the sclera is an expected effect of phenazopyridine hydrochloride.
- D. Phenazopyridine hydrochloride works as a urinary tract analgesic.
Correct Answer: D
Rationale: Phenazopyridine hydrochloride works as a urinary tract analgesic, relieving pain, burning, and discomfort caused by urinary tract irritation.
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
- A. Urinary tract infection.
- B. Dehydration.
- C. Kidney stones.
- D. Liver disease.
Correct Answer: A
Rationale: Dark amber, cloudy urine with an unpleasant odor is commonly caused by a urinary tract infection due to bacterial inflammation and pus in the urine.
A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?
- A. Maintain a low carbohydrate diet.
- B. Eliminate ingestion of foods high in protein.
- C. Increase intake of sodium-containing food.
- D. Reduce intake of foods high in potassium.
Correct Answer: D
Rationale: Reducing foods high in potassium is crucial in CKD to prevent hyperkalemia due to impaired renal potassium excretion.
Phenazopyridine hydrochloride turns the urine which color?
- A. Purple.
- B. Orange.
- C. Blue.
- D. Green.
Correct Answer: B
Rationale: Phenazopyridine hydrochloride turns the urine orange, a common and harmless side effect due to its dye properties.
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer?
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
Correct Answer: 2 tablets
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.